Individual
HEIDI JO BISHIP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2626 N 24TH ST, MESA, AZ 85213-1435
(480) 472-7553
Mailing address
2626 N 24TH ST, MESA, AZ 85213-1435
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN183281
AZ
Other
Enumeration date
08/27/2021
Last updated
08/27/2021
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