Provider Demographics
NPI:1639619067
Name:BISHOP, EMILY (NP-C)
Entity Type:Individual
Prefix:MRS
First Name:EMILY
Middle Name:
Last Name:BISHOP
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20455 LORAIN RD STE T1
Mailing Address - Street 2:
Mailing Address - City:FAIRVIEW PARK
Mailing Address - State:OH
Mailing Address - Zip Code:44126-3495
Mailing Address - Country:US
Mailing Address - Phone:440-799-4811
Mailing Address - Fax:440-799-4820
Practice Address - Street 1:27600 CHAGRIN BLVD STE 360
Practice Address - Street 2:
Practice Address - City:WOODMERE
Practice Address - State:OH
Practice Address - Zip Code:44122-4498
Practice Address - Country:US
Practice Address - Phone:216-342-5795
Practice Address - Fax:216-342-5908
Is Sole Proprietor?:No
Enumeration Date:2017-03-05
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN.366928163W00000X
OH020640363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
No163W00000XNursing Service ProvidersRegistered Nurse