Holtke, Leslie Nicolle

Holtke, Leslie Nicolle is an individual health care provider with primary practice located at 2350 Miami Valley Dr Suite 530, Centerville OH 45459-4778. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Holtke, Leslie Nicolle can be contacted via phone (937) 435-3546.

Contact Information

Primary practice address
2350 Miami Valley Dr Suite 530 Centerville OH 45459-4778
Phone: (937) 435-3546
Fax: (937) 435-3568
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X NP-09088 Ohio

Profile Details

NPI number 1316005770
LBN Legal business name Holtke, Leslie Nicolle
Credentials Certified Nurse Practitioner (CNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 5th, 2006
Last updated Oct 28th, 2020 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1316005770 NPPES
Ohio MEDICAID 2712756

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