Healthcare Provider Details

I. General information

NPI: 1659777985
Provider Name (Legal Business Name): DOLORES ANNE HOLTMANN MSN, FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/13/2014
Last Update Date: 08/30/2023
Certification Date: 08/30/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1064 STATE ROUTE 28 STE F
MILFORD OH
45150-4940
US

IV. Provider business mailing address

1064 STATE ROUTE 28 STE F
MILFORD OH
45150-4940
US

V. Phone/Fax

Practice location:
  • Phone: 513-981-4050
  • Fax: 513-322-4859
Mailing address:
  • Phone: 513-981-4050
  • Fax: 513-322-4859

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number9490847
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberCOA16667-NP
License Number StateOH
# 3
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number9490847
License Number StateFL
# 4
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN.CNP.0034107
License Number StateOH
# 5
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number3008921
License Number StateKY
# 6
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number3008921
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: