Individual provider · Type 1 NPI
Tieshiea D. Wolf
General Practice Registered Nurse · Carmel Valley, CA
NPI number
1639046402
Active
Practice location
1 Scarlett Rd
Carmel Valley, CA 93924-9437
Fax (831) 884-1014
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Registered Nurse Primary | 163WG0000X | 545923 (CA) |
General Practice Registered Nurse: Definition to come...
About NPI 1639046402
Tieshiea D. Wolf's National Provider Identifier is 1639046402, issued on Oct 17, 2025. The primary taxonomy on file is General Practice Registered Nurse (163WG0000X), and the practice location is in Carmel Valley, CA. The record was last updated on Oct 17, 2025.