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Individual
AMY BISHOP
Active
Individual
AMY BISHOP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
54949
ID
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
4171665
ID
390200000X
Student in an Organized Health Care Education/Training Program
000666480
ID
Other
Enumeration date
02/24/2025
Last updated
02/23/2026
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