| Gloria D Wolf, FNP | |
|
900 E Broadway Avenue, Bismarck, ND 58501 | |
| (701) 530-7000 | |
| Not Available |
| Full Name | Gloria D Wolf |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Location | 900 E Broadway Avenue, Bismarck, North Dakota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063556652 | NPI | - | NPPES |
| 1454252 | Medicaid | ND | |
| 500030678 | Other | ND | RR MEDICARE |
| R16331 | Other | ND | LICENSE |
| 22998 | Other | ND | BCBS ND |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | R16331 (North Dakota) | Primary |
| Entity Name | St Alexius Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1205868429 PECOS PAC ID: 8426960865 Enrollment ID: O20031104000146 |
| Entity Name | Healthsource Partners Nd Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235619545 PECOS PAC ID: 1052664091 Enrollment ID: O20181022002173 |
| Mailing Address | Practice Location Address |
|---|---|
| Gloria D Wolf, FNP Po Box 997, Bismarck, ND 58502-0997 Ph: (701) 530-7000 | Gloria D Wolf, FNP 900 E Broadway Avenue, Bismarck, ND 58501 Ph: (701) 530-7000 |
Sarah Miller, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 222 N 7th St, Bismarck, ND 58501 Phone: 701-323-5422 Fax: 701-323-8645 | |
Madison Kay Schatz, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 222 N 7th St, Bismarck, ND 58501 Phone: 701-323-6000 | |
Danette Pengilly, GNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 310 N 10th St, Bismarck, ND 58501 Phone: 701-530-7500 Fax: 701-530-7484 | |
Jana Rakowski, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1040 Tacoma Ave, Bismarck, ND 58504 Phone: 701-323-7452 Fax: 701-323-6982 | |
Mrs. Christina R Gisvold, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 300 N 7th St, Bismarck, ND 58501 Phone: 701-323-6000 | |
Lee Ann June Short, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 300 N 7th St, Bismarck, ND 58501 Phone: 701-204-1709 | |
Rebecca L Ritter, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1000 E Rosser Ave, Bismarck, ND 58501 Phone: 701-530-6000 Fax: 701-530-6430 |