Provider Demographics
NPI:1548941552
Name:WOLFF, ASHLEY (BSN, RN)
Entity type:Individual
Prefix:
First Name:ASHLEY
Middle Name:
Last Name:WOLFF
Suffix:
Gender:F
Credentials:BSN, RN
Other - Prefix:
Other - First Name:ASHLEY
Other - Middle Name:
Other - Last Name:JAMES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:BSN, RN
Mailing Address - Street 1:5905 O ST
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68510-2235
Mailing Address - Country:US
Mailing Address - Phone:402-436-1154
Mailing Address - Fax:402-458-3254
Practice Address - Street 1:6800 MONTEREY DR
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68506-2334
Practice Address - Country:US
Practice Address - Phone:402-436-1154
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-07-31
Last Update Date:2023-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE64497163WS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WS0200XNursing Service ProvidersRegistered NurseSchool