Healthcare Provider Details

I. General information

NPI: 1023112703
Provider Name (Legal Business Name): ELIZABETH BISHOP ALACH AP RN BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: ELIZABETH CHENEY BISHOP RN

II. Dates (important events)

Enumeration Date: 09/12/2006
Last Update Date: 03/07/2023
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

50 OLIVER ST SUITE W1A
NORTH EASTON MA
02356-1446
US

IV. Provider business mailing address

50 OLIVER ST SUITE W1A
NORTH EASTON MA
02356-1446
US

V. Phone/Fax

Practice location:
  • Phone: 508-230-1732
  • Fax: 508-230-1732
Mailing address:
  • Phone: 508-230-1732
  • Fax: 508-230-1732

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code364SF0001X
TaxonomyFamily Health Clinical Nurse Specialist
License Number166142
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: