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NPI Code Detail

MEDICARE: SAMANTHA J BIALECKI CNP

MEDICARE:   SAMANTHA J BIALECKI  CNP
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
1363LA2200XAdult Health Nurse PractitionerAPRN.CNP.019386OH

General Provider Information

NPI Number : 1790238988
Entity Type Code : Individual
Provider Name (Legal Business Name) : SAMANTHA J BIALECKI CNP
Provider Business Mailing Address
First Line : 2940 N MCCORD RD
Second Line :
City : TOLEDO
State : OH
Zip : 43615-1753
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2940 N MCCORD RD
Second Line :
City : TOLEDO
State : OH
Zip : 43615-1753
Country : US
Telephone Number : 419-842-3000
Fax Number : 419-842-3047
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/25/2016
Last Update Date : 06/09/2026

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Directions to “ SAMANTHA J BIALECKI CNP” Practice Location

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