Individual provider · NPI-1

Douglas Bishop, NP

Nurse Practitioner, Family · Buckeye, AZ

NPI number1548840937
StatusActive
Last updated in NPPESApr 10, 2021

Details

NPI
1548840937
Entity type
Individual (NPI-1)
Name
Douglas Bishop
Credential
NP
Sex
Male
Sole proprietor
No
Enumeration date
Apr 10, 2021
Certification date
Apr 10, 2021
Last updated
Apr 10, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LF0000X Nurse Practitioner, Family256505AZYes

Practice location

23706 W La Canada Blvd
Buckeye, AZ 85396-6392

Phone 623-326-4260

Mailing address

23706 W La Canada Blvd
Buckeye, AZ 85396-6392

Phone 623-326-4260

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