Provider Demographics
NPI:1679751838
Name:WOLFE, DEBBRA LINN (RN)
Entity type:Individual
Prefix:
First Name:DEBBRA
Middle Name:LINN
Last Name:WOLFE
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19103 PUTTING GREEN DR
Mailing Address - Street 2:
Mailing Address - City:HUMBLE
Mailing Address - State:TX
Mailing Address - Zip Code:77346-6139
Mailing Address - Country:US
Mailing Address - Phone:713-502-5260
Mailing Address - Fax:281-812-1954
Practice Address - Street 1:19103 PUTTING GREEN DR
Practice Address - Street 2:
Practice Address - City:HUMBLE
Practice Address - State:TX
Practice Address - Zip Code:77346-6139
Practice Address - Country:US
Practice Address - Phone:713-502-5260
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-08
Last Update Date:2008-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX699563163WG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WG0100XNursing Service ProvidersRegistered NurseGastroenterology