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General NPI Number Information
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NPI Number | 1912703661
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Entity Type | Individual
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Provider Name | AMY BISHOP RN
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Gender | Female
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Dates
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Enumeration Date | 02/24/2025
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Last Update Date | 05/23/2025
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Provider Practice Location Address
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Address Line | 472 S 800 W
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City | HEYBURN
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State | ID
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Zip | 83336-9758
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Country | US
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Telephone | 208-421-0745
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Fax |
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Provider Business Mailing Address
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Address Line | 472 S 800 W
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City | HEYBURN
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State | ID
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Zip | 83336-9758
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Country | US
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Telephone | 208-421-0745
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 54949
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License Number State | ID
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number | 000666480
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License Number State | ID
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Taxonomy #3
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 4171665
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License Number State | ID
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