Individual
MRS. KELLI BISHOP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
3801 MORNINGSIDE DR NE, ALBUQUERQUE, NM 87110-1013
(505) 881-9855
(505) 881-0706
Mailing address
809 CALLE FUERTE NE, ALBUQUERQUE, NM 87113-2372
(505) 263-7338
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
R54240
NM
Other
Enumeration date
02/07/2018
Last updated
02/07/2018
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