MEDICARE: JAIME BISCHOFF 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
1	163WN0800X	Neuroscience Registered Nurse	RN215388	AZ

General Provider Information

NPI Number	:	1275498396
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JAIME BISCHOFF RN

Provider Business Mailing Address
First Line	:	4702 E LAFAYETTE BLVD
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85018-3832
Country	:	US
Telephone Number	:	708-906-8989
Fax Number	:

Provider Business Practice Location Address
First Line	:	4702 E LAFAYETTE BLVD
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85018-3832
Country	:	US
Telephone Number	:	708-906-8989
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/20/2025
Last Update Date	:	12/20/2025

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