| Casey Lee Holtslander, FNP-C | |
|
2805 Cincinnatus Rd, Cincinnatus, NY 13040-1304 | |
| (607) 863-4126 | |
| Not Available |
| Full Name | Casey Lee Holtslander |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 2805 Cincinnatus Rd, Cincinnatus, New York |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780352609 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | F348074-01 (New York) | Primary |
| Entity Name | Our Lady of Lourdes Memorial Hospital Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629087580 PECOS PAC ID: 1254237779 Enrollment ID: O20031208000366 |
| Mailing Address | Practice Location Address |
|---|---|
| Casey Lee Holtslander, FNP-C 85 S West St, Homer, NY 13077-1542 Ph: (607) 753-3797 | Casey Lee Holtslander, FNP-C 2805 Cincinnatus Rd, Cincinnatus, NY 13040-1304 Ph: (607) 863-4126 |
Eleanor Christine Klein, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2805 Cincinnatus Rd, Cincinnatus, NY 13040 Phone: 607-863-4126 Fax: 607-863-3455 |
Angeline Mccomb, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2805 Cincinnatus Rd, Cincinnatus, NY 13040 Phone: 607-863-4126 |
Susan Marie Rosato, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2805 Cincinnatus Road, Cincinnatus, NY 13040 Phone: 607-863-4126 Fax: 607-863-3455 |