MRS. JULIE HOLTSCLAW LPN
NPI 1104360619
Licensed Practical Nurse in Grand Rapids, MI

Active since December 19, 2016
2627 E BELTLINE AVE SE, GRAND RAPIDS, MI 49546(616) 285-5100(866) 941-7479 Get Directions Write a Review

NPPES record last updated: December 19, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Julie Holtsclaw Lpn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. JULIE HOLTSCLAW LPN (NPI 1104360619) is an individual licensed practical nurse in Grand Rapids, Michigan, licensed in Michigan (4703081151) and active in the NPI registry since December 2016.

NPPES Registry Identity

NPI1104360619
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameMRS. JULIE HOLTSCLAWCredential: LPN
Location Address2627 E BELTLINE AVE SEGrand Rapids, MI 49546-5975
Mailing Address2627 E Beltline Ave SeGrand Rapids, MI 49546-5975 · (616) 285-5100 · Fax (866) 941-7479
Fax(866) 941-7479
Sole ProprietorNo
Enumeration DateDecember 19, 2016
NPI 1104360619 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License Licensed in MI · 4703081151
Definition
A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
2627 E BELTLINE AVE SE, Grand Rapids, MI 49546

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Licensed Practical Nurse
2627 E BELTLINE AVE SE, 210
GRAND RAPIDS, MI 49546
Registered Nurse (Home Health)
2627 E BELTLINE AVE SE
GRAND RAPIDS, MI 49546
Licensed Practical Nurse
2627 E BELTLINE AVE SE, STE 210
GRAND RAPIDS, MI 49546
Registered Nurse
2627 E BELTLINE AVE SE
GRAND RAPIDS, MI 49546

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Julie Holtsclaw's NPI number?

The NPI number for Julie Holtsclaw is 1104360619. It was assigned to this individual provider in the NPPES registry on December 19, 2016.

Where is Julie Holtsclaw located?

Julie Holtsclaw practices at 2627 E Beltline Ave SE, Grand Rapids, MI 49546. The listed phone number is (616) 285-5100.

What is Julie Holtsclaw's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Julie Holtsclaw was last updated on December 19, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.