Provider Demographics
NPI:1477029890
Name:BISHOP, TONYA ROCHELLE (CNA)
Entity Type:Individual
Prefix:
First Name:TONYA
Middle Name:ROCHELLE
Last Name:BISHOP
Suffix:
Gender:F
Credentials:CNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10017 MIKE RD
Mailing Address - Street 2:
Mailing Address - City:FORT WASHINGTON
Mailing Address - State:MD
Mailing Address - Zip Code:20744-2535
Mailing Address - Country:US
Mailing Address - Phone:301-248-6480
Mailing Address - Fax:301-560-2948
Practice Address - Street 1:3700 9TH ST SE APT 620
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20032-4043
Practice Address - Country:US
Practice Address - Phone:202-847-0480
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-10-24
Last Update Date:2018-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant