Healthcare Provider Details

I. General information

NPI: 1639195712
Provider Name (Legal Business Name): VICTORIA R. HOLZAPFEL CNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/14/2006
Last Update Date: 09/15/2025
Certification Date: 09/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

22 N OHIO AVE
WELLSTON OH
45692-1230
US

IV. Provider business mailing address

22 N OHIO AVE
WELLSTON OH
45692-1230
US

V. Phone/Fax

Practice location:
  • Phone: 740-855-4511
  • Fax: 740-855-4533
Mailing address:
  • Phone: 740-855-4511
  • Fax: 740-855-4533

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberCOA.06887-NP
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: