Provider Demographics
NPI:1174896013
Name:WOLI, HOPE WONDA (RN AAS BSN)
Entity type:Individual
Prefix:
First Name:HOPE
Middle Name:WONDA
Last Name:WOLI
Suffix:
Gender:F
Credentials:RN AAS BSN
Other - Prefix:MRS
Other - First Name:'NO GATE TOO STRAIT,
Other - Middle Name:WONDA
Other - Last Name:THOMPSON WOLI
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:RN AAS BSN
Mailing Address - Street 1:2768 DECATUR AVE
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10458-3706
Mailing Address - Country:US
Mailing Address - Phone:718-733-6660
Mailing Address - Fax:
Practice Address - Street 1:2768 DECATUR AVE
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10458-3706
Practice Address - Country:US
Practice Address - Phone:718-733-6660
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-02-22
Last Update Date:2012-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY294723163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse