Individual
AMY NICOLE BISHOP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
48 W BROADWAY APT 406, SALT LAKE CITY, UT 84101-2045
(801) 558-9262
Mailing address
48 W BROADWAY APT 406, SALT LAKE CITY, UT 84101-2045
(801) 558-9262
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
7600453-3102
UT
207L00000X
Anesthesiology Physician
CRNA-01526
NM
367500000X
Certified Registered Nurse Anesthetist
Primary
101.0134316
VT
Other
Enumeration date
02/14/2018
Last updated
10/23/2024
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