Stacey Nicole Wolf, CRNA | |
301 Hospital Dr, Glen Burnie, MD 21061-5803 | |
(410) 787-4000 | |
Not Available |
Full Name | Stacey Nicole Wolf |
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Gender | Female |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 301 Hospital Dr, Glen Burnie, Maryland |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1558096826 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | R207853 (Maryland) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | R207853 (Maryland) | Primary |
Entity Name | First Colonies Anesthesia Associates, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1740218767 PECOS PAC ID: 8426039744 Enrollment ID: O20040525000119 |
Mailing Address | Practice Location Address |
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Stacey Nicole Wolf, CRNA 851 Trafalgar Ct Ste 200e, Maitland, FL 32751-7420 Ph: (407) 667-0444 | Stacey Nicole Wolf, CRNA 301 Hospital Dr, Glen Burnie, MD 21061-5803 Ph: (410) 787-4000 |
Morgan Dunlow, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 301 Hospital Dr, Glen Burnie, MD 21061 Phone: 410-787-4000 | |
Mr. Anthony Graham, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 8101 Glen Hollow Dr Apt D, Glen Burnie, MD 21061 Phone: 410-768-1385 | |
Courtney Ajello, DNP, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 301 Hospital Dr, Glen Burnie, MD 21061 Phone: 410-787-4000 | |
Ming Li, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 301 Hospital Dr, Glen Burnie, MD 21061 Phone: 410-787-4000 | |
Suzanne Townsend Levitch, DNP Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 301 Hospital Dr, Glen Burnie, MD 21061 Phone: 410-787-4000 |