Provider Demographics
NPI:1669603940
Name:BISHOP, TAMMI L (NP)
Entity type:Individual
Prefix:
First Name:TAMMI
Middle Name:L
Last Name:BISHOP
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Gender:F
Credentials:NP
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Mailing Address - Street 1:15005 SHADY GROVE ROAD
Mailing Address - Street 2:SUITE 130
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20850
Mailing Address - Country:US
Mailing Address - Phone:301-294-8525
Mailing Address - Fax:301-294-5919
Practice Address - Street 1:15005 SHADY GROVE ROAD
Practice Address - Street 2:SUITE 130
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20850
Practice Address - Country:US
Practice Address - Phone:301-294-8525
Practice Address - Fax:301-294-5919
Is Sole Proprietor?:No
Enumeration Date:2009-08-04
Last Update Date:2009-08-04
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Provider Licenses
StateLicense IDTaxonomies
MDR175636364SW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SW0102XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistWomen's Health