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NPI Code Detail

MEDICARE: VICTORIA ANNE BAVER PA-C

MEDICARE: VICTORIA ANNE BAVER PA-C
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
1363A00000XPhysician AssistantIN

General Provider Information

NPI Number : 1316805864
Entity Type Code : Individual
Provider Name (Legal Business Name) : VICTORIA ANNE BAVER PA-C
Provider Business Mailing Address
First Line : 261 N 14TH AVE
Second Line :
City : BEECH GROVE
State : IN
Zip : 46107-1167
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 8333 NAAB RD STE 250
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46260-1983
Country : US
Telephone Number : 317-338-5100
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/13/2026
Last Update Date : 01/13/2026

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Directions to “ VICTORIA ANNE BAVER PA-C” Practice Location

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