Provider Demographics
NPI:1316397680
Name:BISHOP, PATTI LOU
Entity Type:Individual
Prefix:MRS
First Name:PATTI
Middle Name:LOU
Last Name:BISHOP
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9441 CHARDON CIR
Mailing Address - Street 2:APT 108
Mailing Address - City:WEST CHESTER
Mailing Address - State:OH
Mailing Address - Zip Code:45069-2971
Mailing Address - Country:US
Mailing Address - Phone:937-216-3548
Mailing Address - Fax:
Practice Address - Street 1:9441 CHARDON CIR
Practice Address - Street 2:APT 108
Practice Address - City:WEST CHESTER
Practice Address - State:OH
Practice Address - Zip Code:45069-2971
Practice Address - Country:US
Practice Address - Phone:937-216-3548
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-06-17
Last Update Date:2016-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide