Provider Demographics
NPI:1437338514
Name:BISHOP, ANGELA K
Entity Type:Individual
Prefix:MISS
First Name:ANGELA
Middle Name:K
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 1:907 NE 41ST ST
Mailing Address - Street 2:
Mailing Address - City:ANKENY
Mailing Address - State:IA
Mailing Address - Zip Code:50021-6710
Mailing Address - Country:US
Mailing Address - Phone:515-229-1515
Mailing Address - Fax:
Practice Address - Street 1:4098 ADAMS ST
Practice Address - Street 2:
Practice Address - City:CUMMING
Practice Address - State:IA
Practice Address - Zip Code:50061-5609
Practice Address - Country:US
Practice Address - Phone:515-981-5926
Practice Address - Fax:515-981-5934
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-25
Last Update Date:2007-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IAP28318164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse