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NPI Code Detail

MEDICARE: WALLECIA ANN BISHOP RN

MEDICARE: WALLECIA ANN BISHOP RN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163W00000XRegistered Nurse90195OK

General Provider Information

NPI Number : 1851236715
Entity Type Code : Individual
Provider Name (Legal Business Name) : WALLECIA ANN BISHOP RN
Provider Business Mailing Address
First Line : 5501 CORNELL DR
Second Line :
City : BARTLESVILLE
State : OK
Zip : 74006-8820
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1923 S UTICA AVE
Second Line :
City : TULSA
State : OK
Zip : 74104-6520
Country : US
Telephone Number : 918-744-3131
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/20/2026
Last Update Date : 04/20/2026

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Directions to “ WALLECIA ANN BISHOP RN” Practice Location

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