Individual
BAILEY RUDOLPH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2130 W CENTRAL AVE STE 105, TOLEDO, OH 43606-3819
(419) 291-4590
(419) 291-4593
Mailing address
5110 LIBBEY RD, PERRYSBURG, OH 43551-9758
(419) 806-9222
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
489659
OH
363L00000X
Nurse Practitioner
Primary
APRN.CNP.0040032
OH
Other
Enumeration date
08/11/2025
Last updated
09/02/2025
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