Individual
CASEY LEE HOLTSLANDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
2805 CINCINNATUS RD, CINCINNATUS, NY 13040-1304
(607) 863-4126
Mailing address
85 S WEST ST, HOMER, NY 13077-1542
(607) 753-3797
(607) 753-6677
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F348074-01
NY
Other
Enumeration date
09/03/2021
Last updated
11/15/2021
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