# KALEY BISHARD

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

## Provider details

- **NPI number:** 1558621805
- **Gender:** F
- **Credential:** PMHNP-BC, RN

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163W00000X | Registered Nurse | 28186184A | IN | — |
| 163W00000X | Registered Nurse | C-RXN.0001087-C-NP | CO | — |
| 163W00000X | Registered Nurse | RN-204924 | CO | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | 0990416 | CO | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | C-APN.0002416-C-NP | CO | Yes |

## Other

- **Enumeration date:** 05/21/2012
- **Last updated:** 10/12/2022