=====================================================
General NPI Number Information
=====================================================
NPI Number | 1023112703
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | ELIZABETH BISHOP ALACH AP RN BC
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 09/12/2006
-----------------------------------------------------
Last Update Date | 03/07/2023
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 50 OLIVER ST SUITE W1A
-----------------------------------------------------
City | NORTH EASTON
-----------------------------------------------------
State | MA
-----------------------------------------------------
Zip | 02356-1446
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 508-230-1732
-----------------------------------------------------
Fax | 508-230-1732
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 50 OLIVER ST SUITE W1A
-----------------------------------------------------
City | NORTH EASTON
-----------------------------------------------------
State | MA
-----------------------------------------------------
Zip | 02356-1446
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 508-230-1732
-----------------------------------------------------
Fax | 508-230-1732
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 364SF0001X
-----------------------------------------------------
Taxonomy Name | Family Health Clinical Nurse Specialist
-----------------------------------------------------
License Number | 166142
-----------------------------------------------------
License Number State | MA
-----------------------------------------------------