Michelle Rene Wolf, APRN

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

11004051 Issued in FL

Practice address

4311 Norfolk Pkwy Ste 114
Melbourne, FL 32904-8617

Phone

(321) 291-6233

NPI assigned

Feb 18, 2021

Last updated

Feb 18, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Michelle Rene Haney Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1613606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613606400000",
    "number": "1699368829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1890 HENRY AVE",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329045710",
            "telephone_number": "321-863-7630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4311 NORFOLK PKWY STE 114",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329048617",
            "telephone_number": "321-291-6233"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1890 Henry Ave",
            "address_purpose": "LOCATION",
            "city": "Melbourne",
            "state": "FL",
            "postal_code": "329045710",
            "country_code": "US",
            "telephone_number": "321-863-7630",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WOLF",
        "first_name": "MICHELLE",
        "middle_name": "RENE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-18",
        "last_updated": "2021-02-18",
        "certification_date": "2021-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "11004051",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHELLE",
            "last_name": "HANEY",
            "middle_name": "RENE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Natalie M Witherell
• Margaret Louise Witzleb, ARNP
• Wolf Psychological Services LLC
• Alexandra Wolf-Defigarelli, M.D.
• Jennifer Lynn Wolf, PH.D.
• Cheryl Wolff, MS CCC-SLP
• Tracey Wolff, LMHC
• Michael D Wolfington, D.O.
• Anne Wolfram, LMHC
• Bradford J Wolk, M.D.

• Nurse Practitioner in Melbourne, FL
• Providers in Melbourne, FL by specialty
• Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2021; 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.