Individual
AIREAL SHASAUNDAI BISHOP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
12800 BOENKER LN, BRIDGETON, MO 63044-2438
(314) 467-8506
(314) 467-8506
Mailing address
12800 BOENKER LN, BRIDGETON, MO 63044-2438
(314) 467-8506
(314) 467-8506
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
2020041038
MO
Other
Enumeration date
06/10/2021
Last updated
02/23/2023
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