Provider Demographics
NPI:1659777985
Name:HOLTMANN, DOLORES ANNE (MSN, FNP-C)
Entity Type:Individual
Prefix:
First Name:DOLORES
Middle Name:ANNE
Last Name:HOLTMANN
Suffix:
Gender:F
Credentials:MSN, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1064 STATE ROUTE 28 STE F
Mailing Address - Street 2:
Mailing Address - City:MILFORD
Mailing Address - State:OH
Mailing Address - Zip Code:45150-4940
Mailing Address - Country:US
Mailing Address - Phone:513-981-4050
Mailing Address - Fax:513-322-4859
Practice Address - Street 1:1064 STATE ROUTE 28 STE F
Practice Address - Street 2:
Practice Address - City:MILFORD
Practice Address - State:OH
Practice Address - Zip Code:45150-4940
Practice Address - Country:US
Practice Address - Phone:513-981-4050
Practice Address - Fax:513-322-4859
Is Sole Proprietor?:Yes
Enumeration Date:2014-11-13
Last Update Date:2023-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL9490847363LF0000X, 207Q00000X
OHCOA16667-NP363LF0000X
OHAPRN.CNP.0034107363LF0000X
KY3008921363LF0000X, 363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner