Provider Demographics
NPI:1154022309
Name:WOLFE, WENDI AMBER (APRN, WHNP-BC)
Entity type:Individual
Prefix:
First Name:WENDI
Middle Name:AMBER
Last Name:WOLFE
Suffix:
Gender:F
Credentials:APRN, WHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 489
Mailing Address - Street 2:
Mailing Address - City:MT ENTERPRISE
Mailing Address - State:TX
Mailing Address - Zip Code:75681-0489
Mailing Address - Country:US
Mailing Address - Phone:903-822-3076
Mailing Address - Fax:866-835-6516
Practice Address - Street 1:1115 US HIGHWAY 259 S
Practice Address - Street 2:
Practice Address - City:HENDERSON
Practice Address - State:TX
Practice Address - Zip Code:75654-3629
Practice Address - Country:US
Practice Address - Phone:903-392-8203
Practice Address - Fax:866-835-6516
Is Sole Proprietor?:No
Enumeration Date:2023-03-14
Last Update Date:2024-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1111070363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health