Provider Demographics
NPI:1497840086
Name:HOLZAEPFEL, ALLISON LEA (CNP)
Entity Type:Individual
Prefix:
First Name:ALLISON
Middle Name:LEA
Last Name:HOLZAEPFEL
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 1:9451 E HARBOR RD
Mailing Address - Street 2:
Mailing Address - City:MARBLEHEAD
Mailing Address - State:OH
Mailing Address - Zip Code:43440-1310
Mailing Address - Country:US
Mailing Address - Phone:419-798-4081
Mailing Address - Fax:418-798-2261
Practice Address - Street 1:9451 E HARBOR RD
Practice Address - Street 2:
Practice Address - City:MARBLEHEAD
Practice Address - State:OH
Practice Address - Zip Code:43440-1310
Practice Address - Country:US
Practice Address - Phone:419-798-4081
Practice Address - Fax:418-798-2261
Is Sole Proprietor?:No
Enumeration Date:2006-10-03
Last Update Date:2014-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHNP-08044363LF0000X
OH285081163WS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WS0200XNursing Service ProvidersRegistered NurseSchool
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHHONP77791Medicare ID - Type Unspecified
OH2577662Medicaid
OHQ38545Medicare UPIN
OH367819OtherANTHEM BCBS OF OHIO