Gina Maria Wolff, APRN, PMHNP-BC
Nurse Practitioner, Psych/Mental Health in Maryville, IL. Individual provider (NPI-1).
NPI number1316728124
StatusActive
Last updated in NPPESOct 9, 2023
Details
- NPI
- 1316728124
- Entity type
- Individual (NPI-1)
- Name
- Gina Maria Wolff
- Credential
- APRN, PMHNP-BC
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Oct 9, 2023
- Certification date
- Oct 8, 2023
- Last updated
- Oct 9, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LP0808X | Nurse Practitioner, Psych/Mental Health | 209.028386 | IL | Yes |
Practice location
24b Professional Park DrMaryville, IL 62062-5856
Phone 618-310-0085
Mailing address
24b Professional Park DrMaryville, IL 62062-5856
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All 15 Psychiatric/Mental Health Nurse Practitioner providers in Maryville · All 548 providers in Maryville
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