Mary Ann Wolfenson, RN, DNP
Individual provider Active NPI Community Health Registered Nurse · Phoenix, AZ
NPI 1770170045 · NPPES record last updated Dec 21, 2020
Key facts
- NPI
- 1770170045
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Community Health Registered Nurse 163WC1500X
- License
- 041197834 (IL)
- Practice address
- 4650 N Central Ave Unit 174
Phoenix, AZ 85012-1072 - Phone
- (708) 925-2502
- NPI assigned
- Dec 21, 2020
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 041197834 | IL | MD | Community Health Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Registered Nurse | 163WC1500X | 041197834 | IL | Yes |
Addresses
Primary practice location
4650 N Central Ave Unit 174
Phoenix, AZ 85012-1072
Mailing address
4650 N Central Ave
Phoenix, AZ 85012-1068
Phone (708) 925-2502
Other providers in Phoenix, AZ
- Phillip Stanley Wolfe
- Randy David Wolfe
- Stacy Wolfe
- Susan Wolfe
- Tonya Rae Wolfe
- Denise Nanette Wolfer
- Brandon Wolff
- Joseph Wolff
- Ryan Wolff
- Aaron Wolfley
All providers in Phoenix, AZ · Community Health Registered Nurse in Arizona
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 21, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.