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NPI Code Detail

MEDICARE: VICTORIA LYNN BAATZ GIBBS NP

MEDICARE: VICTORIA LYNN BAATZ GIBBS NP
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
1363LF0000XFamily Nurse Practitioner020530OH

General Provider Information

NPI Number : 1427586536
Entity Type Code : Individual
Provider Name (Legal Business Name) : VICTORIA LYNN BAATZ GIBBS NP
Provider Business Mailing Address
First Line : PO BOX 932958
Second Line :
City : CLEVELAND
State : OH
Zip : 44193-0028
Country : US
Telephone Number : 419-239-2626
Fax Number : 419-239-2627
Provider Business Practice Location Address
First Line : 226 E PERKINS AVE
Second Line :
City : SANDUSKY
State : OH
Zip : 44870-4905
Country : US
Telephone Number : 419-239-2626
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/02/2017
Last Update Date : 04/08/2025

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