Alicia Wolf GNP, Inc.

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

COA08023-NP Issued in OH

Legal business name

ALICIA WOLF GNP, INC.

Practice address

2407 Becket Cir
Stow, OH 44224-7027

Phone

(440) 666-6457

NPI assigned

Apr 22, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Alicia Wolf, GNP-BC

Title

Owner

Phone

(440) 666-6457

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1208822400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208822400000",
    "number": "1104090117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2407 BECKET CIR",
            "city": "STOW",
            "state": "OH",
            "postal_code": "442247027",
            "telephone_number": "440-666-6457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2407 BECKET CIR",
            "city": "STOW",
            "state": "OH",
            "postal_code": "442247027",
            "telephone_number": "440-666-6457"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALICIA WOLF GNP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-22",
        "last_updated": "2008-04-22",
        "status": "A",
        "authorized_official_last_name": "WOLF",
        "authorized_official_first_name": "ALICIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "440-666-6457",
        "authorized_official_credential": "GNP-BC"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "OH",
            "license": "COA08023-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Stow, OH
• Gerontology Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.