Taryn K Bishop, APRN
Nurse Practitioner, Family in Avon, CT. Individual provider (NPI-1).
NPI number1942736293
StatusActive
Last updated in NPPESAug 14, 2023
Details
- NPI
- 1942736293
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Taryn K Bishop
- Credential
- APRN
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 5, 2017
- Certification date
- Aug 9, 2023
- Last updated
- Aug 14, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 10456 | CT | Yes |
| 163W00000X | Registered Nurse | RN43764 | RI | |
| 363LF0000X | Nurse Practitioner, Family | APRN01625 | RI |
Other names
- Taryn K O'Brien (Former Name)
Practice location
385 W Main StAvon, CT 06001-4357
Phone 860-777-1280 · Fax 860-777-1276
Mailing address
1290 Silas Deane HighwayHhc - Cvo
Wethersfield, CT 06109-4337
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