National Provider Identifier

Michael Sean Holtfoth, LPN

Michael Sean Holtfoth, LPN is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Hornell, NY and a listed phone number of (607) 281-7471.

NPI 1801405675Hornell, NYLicensed Practical Nurse

Profile Overview

NPI
1801405675
Provider Type
Individual
Primary Specialty
Licensed Practical Nurse
Enumeration Date
July 28, 2020
Last Updated
July 28, 2020

Practice Location

  • 7331 N Main Street Ext
  • Hornell, NY 14843-9678

Phone: (607) 281-7471

Mailing Address

  • 5088 Purdy Creek RD # Re
  • Hornell, NY 14843-9785

Specialties

  • Licensed Practical Nurse (164W00000X)

Endpoints

  • MyURMedicine

    Other Url | Hornell, NY 14843

Full Record
NPI
1801405675
Entity Type
Individual
Last Name
Holtfoth
First Name
Michael
Middle Name
Sean
Credential
LPN
Mailing Street Address
5088 Purdy Creek RD # Re
Mailing City
Hornell
Mailing State
NY
Mailing ZIP Code
14843-9785
Mailing Country
US
Mailing Phone
(607) 654-3758
Practice Street Address
7331 N Main Street Ext
Practice City
Hornell
Practice State
NY
Practice ZIP Code
14843-9678
Practice Country
US
Practice Phone
(607) 281-7471
Enumeration Date
July 28, 2020
Last Updated
July 28, 2020
Sex
Male
Sole Proprietor
Yes
Certification Date
July 28, 2020
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Licensed Practical Nurse (164W00000X)