Provider Demographics
NPI:1669978029
Name:HOLZAPFEL FAMILY CLINIC/URGENT CARE LLC
Entity type:Organization
Organization Name:HOLZAPFEL FAMILY CLINIC/URGENT CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:VICTORIA
Authorized Official - Middle Name:RENEE
Authorized Official - Last Name:HOLZAPFEL
Authorized Official - Suffix:
Authorized Official - Credentials:APRN-CNP
Authorized Official - Phone:740-577-3043
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
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-04-04
Last Update Date:2025-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH06887363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH275646299-00OtherBWC