Provider Demographics
NPI:1164124566
Name:BISHOP, CYNTHIA (CNS)
Entity Type:Individual
Prefix:
First Name:CYNTHIA
Middle Name:
Last Name:BISHOP
Suffix:
Gender:F
Credentials:CNS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2486 DERBY DR
Mailing Address - Street 2:
Mailing Address - City:ROCKY MOUNT
Mailing Address - State:NC
Mailing Address - Zip Code:27804-8281
Mailing Address - Country:US
Mailing Address - Phone:704-692-8449
Mailing Address - Fax:
Practice Address - Street 1:ECU HEALTH MEDICAL CENTER
Practice Address - Street 2:2100 STANTONSBURG RD
Practice Address - City:GREENVILLE
Practice Address - State:NC
Practice Address - Zip Code:27804
Practice Address - Country:US
Practice Address - Phone:252-847-9344
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-03-20
Last Update Date:2023-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC308858364SM0705X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SM0705XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistMedical-Surgical