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Individual
MARY M BISHOP
Active
Individual
MARY M BISHOP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R072295
MD
363LN0000X
Neonatal Nurse Practitioner
R072295
MD
363LP1700X
Perinatal Nurse Practitioner
R072295
MD
Other
Enumeration date
08/15/2006
Last updated
09/20/2012
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