Healthcare Provider Details

I. General information

NPI: 1942645015
Provider Name (Legal Business Name): RACHELE ELIZABETH BISHOP FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/02/2013
Last Update Date: 07/23/2026
Certification Date: 07/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

660 S EUCLID AVE
SAINT LOUIS MO
63110-1010
US

IV. Provider business mailing address

8424 ALASKA AVE
SAINT LOUIS MO
63125-1200
US

V. Phone/Fax

Practice location:
  • Phone: 314-362-7399
  • Fax:
Mailing address:
  • Phone: 618-367-3443
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number2022038311
License Number StateMO
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number209036149
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: