Provider Demographics
NPI:1639915952
Name:WOLF, BRANDI NICHOLE (FNP-C)
Entity type:Individual
Prefix:
First Name:BRANDI
Middle Name:NICHOLE
Last Name:WOLF
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:216 HAZELTINE DR
Mailing Address - Street 2:
Mailing Address - City:LAKEWAY
Mailing Address - State:TX
Mailing Address - Zip Code:78734-4627
Mailing Address - Country:US
Mailing Address - Phone:512-699-0888
Mailing Address - Fax:
Practice Address - Street 1:216 HAZELTINE DR
Practice Address - Street 2:
Practice Address - City:LAKEWAY
Practice Address - State:TX
Practice Address - Zip Code:78734-4627
Practice Address - Country:US
Practice Address - Phone:512-699-0888
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-07-05
Last Update Date:2025-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1168335363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily