Provider Demographics
NPI:1780931287
Name:BISHOP, ANNE CAROLYN (RN)
Entity type:Individual
Prefix:MS
First Name:ANNE
Middle Name:CAROLYN
Last Name:BISHOP
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 ALEXANDER ST
Mailing Address - Street 2:APARTMENT 806C
Mailing Address - City:YONKERS
Mailing Address - State:NY
Mailing Address - Zip Code:10701-7556
Mailing Address - Country:US
Mailing Address - Phone:607-624-1127
Mailing Address - Fax:
Practice Address - Street 1:1 ALEXANDER ST
Practice Address - Street 2:APARTMENT 806C
Practice Address - City:YONKERS
Practice Address - State:NY
Practice Address - Zip Code:10701-7556
Practice Address - Country:US
Practice Address - Phone:607-624-1127
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-08-14
Last Update Date:2012-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY605883163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse