NPI 1114031531 · live from the CMS NPI Registry
Susan Burke Bishop, ANP
Nurse Practitioner, Pediatrics in Clayton, MO. National Provider Identifier 1114031531, active.
NPI record
| NPI | 1114031531 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner, Pediatrics 363LP0200X |
| Practice location | 111 S Meramec Ave, Clayton, MO 63105 |
| Practice phone | 314-615-8153 |
| Enumerated | August 19, 2006 |
| Last updated | July 8, 2007 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner, Pediatrics primary | 363LP0200X | 050356 (MO) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.