MEDICARE: VICTORIA LEILANI SCHACHT CPNP-PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LP0200X	Pediatric Nurse Practitioner	R253104	MD

General Provider Information

NPI Number	:	1245198837
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	VICTORIA LEILANI SCHACHT CPNP-PC

Provider Business Mailing Address
First Line	:	2301 FOREST DR STE A
Second Line	:
City	:	ANNAPOLIS
State	:	MD
Zip	:	21401-3833
Country	:	US
Telephone Number	:	410-266-6767
Fax Number	:

Provider Business Practice Location Address
First Line	:	2301 FOREST DR STE A
Second Line	:
City	:	ANNAPOLIS
State	:	MD
Zip	:	21401-3833
Country	:	US
Telephone Number	:	410-266-6767
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/12/2026
Last Update Date	:	01/12/2026

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