Individual
MRS. BETH ANN BISH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
C.N.P.
Contact information
Practice address
505 E JEFFERSON ST, SUITE A, BLUFFTON, OH 45817-1349
(419) 549-5865
Mailing address
505 E JEFFERSON ST, SUITE A, BLUFFTON, OH 45817-1349
(419) 549-5865
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
COA08524-NP
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000494814
ANTHEM
OH
05
—
2677045
—
OH
01
—
739647
BUCKEYE
OH
Enumeration date
06/16/2006
Last updated
07/07/2015
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