Provider Demographics
NPI:1619016805
Name:HOLDCROFT, STEPHANIE S (LVN)
Entity type:Individual
Prefix:MRS
First Name:STEPHANIE
Middle Name:S
Last Name:HOLDCROFT
Suffix:
Gender:F
Credentials:LVN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:300 FM 1303
Mailing Address - Street 2:
Mailing Address - City:FLORESVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78114-6081
Mailing Address - Country:US
Mailing Address - Phone:830-393-2360
Mailing Address - Fax:830-393-3080
Practice Address - Street 1:300 FM 1303
Practice Address - Street 2:
Practice Address - City:FLORESVILLE
Practice Address - State:TX
Practice Address - Zip Code:78114-6081
Practice Address - Country:US
Practice Address - Phone:830-393-2360
Practice Address - Fax:830-393-3080
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX138619164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164X00000XNursing Service ProvidersLicensed Vocational Nurse