Individual provider · Type 1 NPI

Bailey Rudolph

Nurse Practitioner · Toledo, OH

NPI number 1023993623 Active

Practice location

2130 W Central Ave Ste 105
Toledo, OH 43606-3819

Call (419) 291-4590 Map

Fax (419) 291-4593

Mailing address

5110 Libbey Rd
Perrysburg, OH 43551-9758

Specialties and licenses

Taxonomy	Code	License
Registered Nurse	163W00000X	489659 (OH)
Nurse Practitioner Primary	363L00000X	APRN.CNP.0040032 (OH)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1023993623

Bailey Rudolph's National Provider Identifier is 1023993623, issued on Aug 11, 2025. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Toledo, OH. The record was last updated on Sep 2, 2025.