Individual
ANGELA M BISHOP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
601 S FLOYD ST, SUITE 500, LOUISVILLE, KY 40202-1835
(502) 589-8033
(502) 589-8233
Mailing address
PO BOX 909, LOUISVILLE, KY 40201-0909
(502) 588-0320
(502) 588-0326
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1098915
KY
363L00000X
Nurse Practitioner
5476P
KY
363LF0000X
Family Nurse Practitioner
Primary
3005476
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1098915
KENTUCKY BOARD OF NURSING
KY
01
—
45377
KENTUCKY BOARD OF NURSING
KY
05
—
7100031120
—
KY
Enumeration date
11/19/2007
Last updated
10/12/2020
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