Provider Demographics
NPI:1639195712
Name:HOLZAPFEL, VICTORIA R (CNP)
Entity type:Individual
Prefix:
First Name:VICTORIA
Middle Name:R
Last Name:HOLZAPFEL
Suffix:
Gender:F
Credentials:CNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22 N OHIO AVE
Mailing Address - Street 2:
Mailing Address - City:WELLSTON
Mailing Address - State:OH
Mailing Address - Zip Code:45692-1230
Mailing Address - Country:US
Mailing Address - Phone:740-855-4511
Mailing Address - Fax:740-855-4533
Practice Address - Street 1:22 N OHIO AVE
Practice Address - Street 2:
Practice Address - City:WELLSTON
Practice Address - State:OH
Practice Address - Zip Code:45692-1230
Practice Address - Country:US
Practice Address - Phone:740-855-4511
Practice Address - Fax:740-855-4533
Is Sole Proprietor?:No
Enumeration Date:2006-07-14
Last Update Date:2025-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHCOA.06887-NP363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH000000204511OtherOH MEDICAID UNISON
OH2308489OtherMOLINA MEDICAID
OH2308489Medicaid
WV7102205000Medicaid
500022608OtherRR MEDICARE
OHNP09962Medicare PIN
500022608OtherRR MEDICARE