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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

ROXANNE WOLFRAM, FNP

Active

ROXANNE WOLFRAM, FNP is a Nurse Practitioner healthcare provider located in ST. JOSEPH, Michigan. NPI 1225360977 is currently active in the NPPES registry. Verify at CMS.

Nurse Practitioner · ST. JOSEPH, MI

Registration Details

NPI Number
1225360977
Provider Type
Individual
Gender
Female
NPI Issued
Feb 5, 2010 (16.533183829411 yrs)
Last Updated
Jul 10, 2018
Licenses
28115108A (IN)
4704168735 (MI)
71000517A (IN)
4704168735 (MI)

Practice Information

Address
2500 NILES AVE
SUITE 1
ST. JOSEPH, MI, 49085
Browse MI providers · Browse ZIP 49085
Phone
2699833380
Fax
2699830353
Primary Specialty
Nurse Practitioner
363L00000X
Additional Specialty
Registered Nurse
Additional Specialty
Family Nurse Practitioner
Additional Specialty
Nurse Practitioner
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.