Individual provider · Type 1 NPI

Nicole Marie Wolf, PA-C

Surgical Physician Assistant · Derby, CT

NPI number 1932821345 Active

Practice location

130 Division St
Derby, CT 06418-1326

Fax (203) 732-1332

Mailing address

67 Maple Ave
Derby, CT 06418-1328

Other practice locations

  • 2800 Main St, Bridgeport, CT 06606-4292 · (203) 576-6000

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400X5884 (CT)

Surgical Physician Assistant: Definition to come...

232 other providers at this address

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About NPI 1932821345

Nicole Marie Wolf, PA-C's National Provider Identifier is 1932821345, issued on Sep 13, 2022. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Derby, CT. The record was last updated on Jan 8, 2024.