MS. GLENDA SUE WOLFE (NPI# 1972831493) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972831493 |
| Entity Type | Individual |
| Full Name | MS. GLENDA SUE WOLFE |
| Credential | PMHNP-BC |
| Practice Address |
Wamc Stop A Building 2817 Reilly Rd. Mcxc Cod Cs Credentials Fort Bragg NC 28310-0001 |
| Mailing Address |
Po Box 336 Raeford NC 28376-0336 |
| Practice Telephone | 9109078922 |
| Practice Fax Number | 9109076069 |
| Mailing Telephone | 7576475002 |
| Mailing Fax Number | 9109071079 |
| Enumeration Date | 2009-11-20 |
| Last Update Date | 2009-11-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 0001134686 | VA | Nursing Service Providers |
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
0024168543 | VA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
WAMC STOP A BUILDING 2817 REILLY RD. MCXC COD CS CREDENTIALS |
| City | FORT BRAGG |
| State | NC |
| Zip Code | 28310-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427055623 | Vernon Allen Faircloth | Pharmacist | Wamc Stop A, 2817 Reilly Road Mcxc Ph, Fort Bragg, NC 28310-0001 | 2005-07-01 |
| 1003876475 | Patricia Ann Chippendale | Physical Therapist | Wamc Stop A, 2817 Reilly Road Mcxc Dpc Ed, Fort Bragg, NC 28310-0001 | 2006-03-28 |
| 1629045927 | Henry Bruce Cohen | Family Medicine | Wamc Stop A, 2817 Reilly Road, Fort Bragg, NC 28310-0001 | 2006-03-06 |
| 1659341972 | Alexander Salkov Shilman | Pharmacist | Wamc Stop A, 2817 Reilly Road, Fort Bragg, NC 28310-7301 | 2006-01-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013550763 | Brent Francis Bachman | Physician Assistant | 2817 Reilly Street, Fort Bragg, NC 28310 | 2019-10-25 |
| 1417503459 | Cooper Pasque | Dentist | 1838 Normandy Dr., Fort Bragg, Apo, AA 28310 | 2019-08-15 |
| 1851959951 | Daniel Jordan Whitaker | Student in an Organized Health Care Education/Training Program | Womack Army Medical Center, 2817 Reilly Road, Mcxc-cod Credentials, Fort Bragg, NC 28310 | 2019-06-03 |
| 1679054217 | Christopher Cetnar | Dentist | Smokebomb Hill, Bldg 3718 Gruber Road, Fort Bragg, NC 28310 | 2018-08-22 |
| 1316427107 | Alexandrea Lee Clark | Dentist | Laflamme Dental Clinic, Bldg C6238 Ardennes Road, Fort Bragg, NC 28310 | 2018-08-21 |
| 1457843831 | Kevin Patrick Hudson | Student in an Organized Health Care Education/Training Program | 2817 Reilly Road Mxcx - Cod Credentials, Womack Army Medical Center, Fort Bragg, NC 28310 | 2018-06-01 |
| 1639691462 | Margaret S Greene | Dentist | Usa Dental Health Activity Fort Bragg, Wamc Box #151 2817 Rielly Rd, Fort Bragg, NC 28310 | 2017-07-13 |
| 1912432246 | Chezdan Baker | Student in an Organized Health Care Education/Training Program | Us Army Dental Health Activity Bldg-6837 Normandy Drive, Fort Bragg, NC 28310 | 2017-04-24 |
| 1215483094 | Shantryce Monique Boatwright Crump | Dental Hygienist | 2617 Rielly Road, Fort Bragg, NC 28310 | 2016-08-31 |
| 1629435714 | John Gagnier | Physician Assistant | Gruber Road, Building #c-1722, Fort Bragg, NC 28310 | 2016-01-21 |
| Find all providers in zip 28310 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194357210 | Lauren Jensen | Nurse Practitioner | 2817 Reily Road, Fort Bragg, NC 28310 | 2020-02-06 |
| 1619122462 | Jack A Strong | Nurse Practitioner | 2817 Reilly St, Womack Army Medical Center, Fort Bragg, NC 28310-7324 | 2008-11-20 |
| 1306927942 | Christopher P. Weidlich | Nurse Practitioner | Womack Army Medical Center Wamc, Bldg 4-2817 Box 281, Fort Bragg, NC 28310-0001 | 2006-10-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235730078 | Leetisha Lawana Dunia | Nurse Practitioner | 538 Wood Point Dr, Lillington, NC 27546-5971 | 2020-11-06 |
| 1881292134 | Jurell Kirice Riley | Nurse Practitioner | 6301 Dumont Ln, Charlotte, NC 28269-6147 | 2020-10-09 |
| 1336756899 | Jennifer Danks | Nurse Practitioner | 1845 Keener Rd, Clinton, NC 28328-8039 | 2020-09-29 |
| 1376159400 | Ronald Jerome Patterson Jr. | Nurse Practitioner | 4204 Banks Stone Dr, Raleigh, NC 27603-4860 | 2020-09-23 |
| 1902411499 | Solari Mental and Behavioral Health Services | Nurse Practitioner | 11206 Highcrest Dr, Huntersville, NC 28078-0610 | 2020-09-10 |
| 1699389684 | Lasting Hope - Mental Health & Recovery | Nurse Practitioner | 131 Fiddlers Run Blvd, Morganton, NC 28655-0095 | 2020-09-07 |
| 1588277727 | Alison Stroh | Nurse Practitioner | 1313 Banyon Grove Loop, Cary, NC 27513-3936 | 2020-08-27 |
| 1902417488 | Erin Klender Pllc | Nurse Practitioner | 12106 Willingdon Rd, Huntersville, NC 28078-5520 | 2020-08-10 |
| 1407466824 | Theresa Uju Ofoemezie | Nurse Practitioner | 250 S San Agustin Dr, Mooresville, NC 28117-8581 | 2020-08-01 |
| 1669090213 | Rashonda R. Wheeler | Nurse Practitioner | 8949 Cinnabay Dr, Charlotte, NC 28216-2189 | 2020-07-10 |
| Find all providers with the same taxonomy | ||||
| City | FORT BRAGG |
| Zip Code | 28310 |
Please comment or provide details below to improve the information on MS. GLENDA SUE WOLFE.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.