Emily Ann Wolfe, | |
1405 Mill St, New London, WI 54961-2155 | |
(920) 531-2400 | |
Not Available |
Full Name | Emily Ann Wolfe |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Location | 1405 Mill St, New London, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1407531056 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | 251322-30 (Wisconsin) | Secondary |
363L00000X | Nurse Practitioner | 14102-33 (Wisconsin) | Primary |
Entity Name | Thedacare, Incorporated |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1376656959 PECOS PAC ID: 1759294887 Enrollment ID: O20031106000088 |
Mailing Address | Practice Location Address |
---|---|
Emily Ann Wolfe, 1447 Tullar Rd Apt 4, Neenah, WI 54956-4573 Ph: (920) 279-6968 | Emily Ann Wolfe, 1405 Mill St, New London, WI 54961-2155 Ph: (920) 531-2400 |
Natalie G Gauthier, APNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1405 Mill St, New London, WI 54961 Phone: 920-531-2400 | |
Allsion R Stache, APNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1405 Mill St, New London, WI 54961 Phone: 920-831-5050 Fax: 920-531-2207 | |
Jennifer Schaffer, APNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1405 Mill St, New London, WI 54961 Phone: 920-531-2400 | |
Tori C Beyer, APNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1405 Mill St, New London, WI 54961 Phone: 920-531-2398 | |
Cara Benner, APNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1405 Mill St, New London, WI 54961 Phone: 920-531-2400 | |
Herbert A Nolan, APNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1405 Mill St, New London, WI 54961 Phone: 920-531-2400 | |
Kimberly R Brown, APNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1405 Mill St, New London, WI 54961 Phone: 920-531-2400 Fax: 920-531-2463 |