NPI 1487295200 · live from the CMS NPI Registry
Bishop C Anyiwe, PA-C
Physician Assistant in Duluth, MN. National Provider Identifier 1487295200, active.
NPI record
| NPI | 1487295200 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Physician Assistant 363A00000X |
| Practice location | 400 E 3rd St, Duluth, MN 55805 |
| Practice phone | 218-786-8364 |
| Mailing address | 1702 University Dr S, Fargo, ND 58103 |
| Enumerated | October 2, 2019 |
| Last updated | December 6, 2019 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant primary | 363A00000X | 13186 (MN) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.