Vicki Lynne Holt, LPN
Individual provider Active NPI Licensed Practical Nurse · Greenfield, OH
NPI 1861658601 · NPPES record last updated Jul 31, 2008
Key facts
- NPI
- 1861658601
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Practical Nurse 164W00000X
- License
- PN06382 (OH)
- Practice address
- 410 Jefferson St
Greenfield, OH 45123-1355 - Phone
- (937) 402-0390
- NPI assigned
- Jul 31, 2008
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PN06382 | OH | MD | Licensed Practical Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | PN06382 | OH | Yes |
Addresses
Primary practice location
410 Jefferson St
Greenfield, OH 45123-1355
Mailing address
5401 Lower Twin Rd
South Salem, OH 45681-9706
Phone (937) 981-4235
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PN063824 | Other | OH | OHIO BOARD OF NURSING |
Other providers in Greenfield, OH
- Highland District Hospital Professional Services Corporation
- Highland Health Providers Corp
- Kenadi Hillyard
- Bryson Holbert
- Brandy Lee Holt
- Amy Horton
- Rachel Hostetler
- Michelle Houck
- Lisa R Howard
- Jonah Humphries
All providers in Greenfield, OH · Licensed Practical Nurse in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 31, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.