# MARY M BISHOP

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1497768790
- **Gender:** F
- **Credential:** CRNP

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | R072295 | MD | Yes |
| 363LN0000X | Neonatal Nurse Practitioner | R072295 | MD | — |
| 363LP1700X | Perinatal Nurse Practitioner | R072295 | MD | — |

## Other

- **Enumeration date:** 08/15/2006
- **Last updated:** 09/20/2012
