NPI 1184163149 · live from the CMS NPI Registry
Lynae Wolf, APRN, CNP
Nurse Practitioner, Pediatrics in Fargo, ND. National Provider Identifier 1184163149, active.
NPI record
| NPI | 1184163149 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner, Pediatrics 363LP0200X |
| Practice location | 801 Broadway N, Fargo, ND 58102 |
| Practice phone | 170-123-4200 |
| Enumerated | February 22, 2017 |
| Last updated | May 18, 2025 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner, Pediatrics primary | 363LP0200X | R37765 (ND) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.