Individual
MRS. NICOLE RENEE BISHOP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
42104 N VENTURE DR STE D118, ANTHEM, AZ 85086-3837
(602) 312-9492
Mailing address
625 W MORSE DR, PHOENIX, AZ 85086-7918
(602) 312-9492
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
232087
AZ
Other
Enumeration date
09/10/2019
Last updated
09/10/2019
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