National Provider Identifier

Amanda Marie Bishop

Amanda Marie Bishop is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Ithaca, NY and a listed phone number of (607) 273-0466.

NPI 1730495292Ithaca, NYLicensed Practical Nurse

Profile Overview

NPI
1730495292
Provider Type
Individual
Primary Specialty
Licensed Practical Nurse
Enumeration Date
August 23, 2010
Last Updated
August 23, 2010

Practice Location

  • 138 Cecil Malone Dr
  • Ithaca, NY 14850-5124

Phone: (607) 273-0466

Specialties

  • Licensed Practical Nurse (164W00000X)
Full Record
NPI
1730495292
Entity Type
Individual
Last Name
Bishop
First Name
Amanda
Middle Name
Marie
Mailing Street Address
138 Cecil Malone Dr
Mailing City
Ithaca
Mailing State
NY
Mailing ZIP Code
14850-5124
Mailing Country
US
Mailing Phone
(607) 273-0466
Practice Street Address
138 Cecil Malone Dr
Practice City
Ithaca
Practice State
NY
Practice ZIP Code
14850-5124
Practice Country
US
Practice Phone
(607) 273-0466
Enumeration Date
August 23, 2010
Last Updated
August 23, 2010
Sex
Female
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Licensed Practical Nurse (164W00000X)
Other Identifiers
1861606485 (NY)