NPI 1205336484 · live from the CMS NPI Registry
Amy Nicole Bishop
Nurse Anesthetist, Certified Registered in Salt Lake City, UT. National Provider Identifier 1205336484, active.
NPI record
| NPI | 1205336484 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Anesthetist, Certified Registered 367500000X |
| Practice location | 48 W Broadway Apt 406, Salt Lake City, UT 84101 |
| Practice phone | 801-558-9262 |
| Enumerated | February 14, 2018 |
| Last updated | October 23, 2024 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 7600453-3102 (UT) |
| Anesthesiology | 207L00000X | CRNA-01526 (NM) |
| Nurse Anesthetist, Certified Registered primary | 367500000X | 101.0134316 (VT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.