Healthcare Provider Details

I. General information

NPI: 1669978029
Provider Name (Legal Business Name): HOLZAPFEL FAMILY CLINIC/URGENT CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/04/2018
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 Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number06887
License Number StateOH

VIII. Authorized Official

Name: MS. VICTORIA RENEE HOLZAPFEL
Title or Position: OWNER
Credential: APRN-CNP
Phone: 740-577-3043