Individual provider · Type 1 NPI

Katie Nicole Wolfgang, PA-C

Medical Physician Assistant · Scranton, PA

NPI number 1114709417 Active

Practice location

300 Lackawanna Ave Ste 200
Scranton, PA 18503-2001

Fax (570) 348-6795

Mailing address

2100 Mack Blvd
Allentown, PA 18103-5622

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XMA064846 (PA)

Medical Physician Assistant: Definition to come...

26 other providers at this address

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About NPI 1114709417

Katie Nicole Wolfgang, PA-C's National Provider Identifier is 1114709417, issued on Oct 20, 2023. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Scranton, PA. The record was last updated on Apr 10, 2024.