Individual
DENALI BISHOP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1504 IOWA AVE, LYNN HAVEN, FL 32444-3929
(850) 348-0703
Mailing address
11000 UNIVERSITY PKWY, PENSACOLA, FL 32514-5732
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
06/23/2022
Last updated
06/23/2022
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