Provider Demographics
NPI:1144979493
Name:WOLFE, LURA ELIZABETH (APRN-CNP)
Entity type:Individual
Prefix:
First Name:LURA
Middle Name:ELIZABETH
Last Name:WOLFE
Suffix:
Gender:F
Credentials:APRN-CNP
Other - Prefix:
Other - First Name:LURA
Other - Middle Name:ELIZABETH
Other - Last Name:ARANT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:700 ACKERMAN RD STE 2120
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43202-1559
Mailing Address - Country:US
Mailing Address - Phone:614-293-4837
Mailing Address - Fax:614-293-0077
Practice Address - Street 1:6700 UNIVERSITY BLVD
Practice Address - Street 2:
Practice Address - City:DUBLIN
Practice Address - State:OH
Practice Address - Zip Code:43016-3508
Practice Address - Country:US
Practice Address - Phone:614-293-4837
Practice Address - Fax:614-293-0077
Is Sole Proprietor?:No
Enumeration Date:2022-03-23
Last Update Date:2024-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN.485213163W00000X
OHAPRN.CNP.0033714363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No163W00000XNursing Service ProvidersRegistered Nurse