Healthcare Provider Details

I. General information

NPI: 1760751028
Provider Name (Legal Business Name): VALERIA BISIG
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/15/2011
Last Update Date: 03/30/2023
Certification Date: 03/30/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2055 HOSPITAL DRIVE SUITE 130
BATAVIA OH
45103
US

IV. Provider business mailing address

5400 DUPONT CIRCLE SUITE A
MILFORD OH
45150
US

V. Phone/Fax

Practice location:
  • Phone: 513-732-0870
  • Fax: 513-732-0873
Mailing address:
  • Phone: 513-576-7700
  • Fax: 513-576-1020

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberCOA.12707-NP
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN.CNP.12707
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: