Kaitlee A Wolfe, CRNP | |
2520 Green Tech Dr, State College, PA 16803-2308 | |
(570) 271-7987 | |
Not Available |
Full Name | Kaitlee A Wolfe |
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Gender | Female |
Speciality | Nurse Practitioner |
Location | 2520 Green Tech Dr, State College, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1407546252 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | SP027538 (Pennsylvania) | Primary |
Entity Name | Geisinger Clinic |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1366493868 PECOS PAC ID: 5395657001 Enrollment ID: O20040130000518 |
Mailing Address | Practice Location Address |
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Kaitlee A Wolfe, CRNP 100 N Academy Ave, Danville, PA 17822-4903 Ph: (570) 271-6144 | Kaitlee A Wolfe, CRNP 2520 Green Tech Dr, State College, PA 16803-2308 Ph: (570) 271-7987 |
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