Provider Demographics
NPI:1699550954
Name:WOLFE, MARIA DOLORES (MSN, PMHNP-BC)
Entity type:Individual
Prefix:
First Name:MARIA
Middle Name:DOLORES
Last Name:WOLFE
Suffix:
Gender:F
Credentials:MSN, PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3022 TRES LOGOS LN
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75228-1730
Mailing Address - Country:US
Mailing Address - Phone:214-766-0194
Mailing Address - Fax:
Practice Address - Street 1:12606 GREENVILLE AVE STE 195
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75243-1909
Practice Address - Country:US
Practice Address - Phone:214-826-8000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-08-25
Last Update Date:2024-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1133787363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health