Individual
TAMMY ANN BISHOP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
200 CLINIC DR, MADISONVILLE, KY 42431-1661
(270) 825-7346
Mailing address
200 CLINIC DR, MADISONVILLE, KY 42431-1661
(270) 825-7346
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
4796A
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LICENSE
4796A
KY
Enumeration date
08/01/2006
Last updated
08/23/2007
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