Individual
SAMMIE BISHOP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
320 MAC BLVD, NEVADA, MO 64772-3990
(660) 207-7733
(417) 667-6515
Mailing address
320 MAC BLVD, NEVADA, MO 64772-3990
(660) 207-7733
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
2012033088
MO
Other
Enumeration date
02/05/2019
Last updated
02/05/2019
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