Provider Demographics
NPI:1487840831
Name:HOLTZAPFEL, DONNA M (CNP)
Entity Type:Individual
Prefix:MRS
First Name:DONNA
Middle Name:M
Last Name:HOLTZAPFEL
Suffix:
Gender:F
Credentials:CNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1800 WATERMARK DR
Mailing Address - Street 2:SUITE 420
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43215-1048
Mailing Address - Country:US
Mailing Address - Phone:614-645-5500
Mailing Address - Fax:614-645-5517
Practice Address - Street 1:1791 ALUM CREEK DR
Practice Address - Street 2:SUITE 100
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43207-1708
Practice Address - Country:US
Practice Address - Phone:614-526-5420
Practice Address - Fax:614-526-5421
Is Sole Proprietor?:No
Enumeration Date:2007-09-19
Last Update Date:2016-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHCOA02420NP363LP0200X, 363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics
No363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0061192Medicaid
OHA0899066OtherAMERICAN ACADEMY OF NURSE PRACTITIONERS
OH78311OtherPEDIATRIC NURSING CERTIFICATION BOARD
OH0061192Medicaid
OH78311OtherPEDIATRIC NURSING CERTIFICATION BOARD
OHH152383Medicare PIN
OHA0899066OtherAMERICAN ACADEMY OF NURSE PRACTITIONERS
OHNP06641Medicare UPIN
OHH152385Medicare PIN
OHH152381Medicare PIN