Provider Demographics
NPI:1720165541
Name:BISHOP, ERIN ARNOLD (ARNP-BC)
Entity Type:Individual
Prefix:MRS
First Name:ERIN
Middle Name:ARNOLD
Last Name:BISHOP
Suffix:
Gender:F
Credentials:ARNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19657 ASPEN RIDGE DR
Mailing Address - Street 2:
Mailing Address - City:BEND
Mailing Address - State:OR
Mailing Address - Zip Code:97702-3366
Mailing Address - Country:US
Mailing Address - Phone:561-676-6121
Mailing Address - Fax:
Practice Address - Street 1:155 SW CENTURY DR STE 111
Practice Address - Street 2:
Practice Address - City:BEND
Practice Address - State:OR
Practice Address - Zip Code:97702-1657
Practice Address - Country:US
Practice Address - Phone:458-206-3331
Practice Address - Fax:620-506-4777
Is Sole Proprietor?:No
Enumeration Date:2006-11-01
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL9196869363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL9196869OtherARNP