person
Aireal Shasaundai Bishop, NP
Gerontology Nurse Practitioner in Bridgeton, Missouri
NPI 1114594736

Aireal Shasaundai Bishop is a Gerontology Nurse Practitioner based in Bridgeton, MO and is specialized in Gerontology. Aireal Shasaundai Bishop practices in Bridgeton, MO and has the professional credentials of NP. The NPI Number for Aireal Shasaundai Bishop is 1114594736 and holds a License No. 2020041038 (Missouri).

The current practice location address for Aireal Shasaundai Bishop is 12800 Boenker Ln, Bridgeton, MO and can be reached out via phone at 314-467-8506 and via fax at 314-467-8506.

Location: 12800 Boenker Ln, Bridgeton, MO, 63044-2438
person
Provider Profile Details
NPI Number
1114594736
Provider Name
Aireal Shasaundai Bishop
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
12800 Boenker Ln, Bridgeton, MO, 63044-2438
Phone Number
314-467-8506
Fax Number
314-467-8506
Provider Enumeration Date
06/10/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
12800 Boenker Ln
City
State
Zip
63044-2438
Phone Number
314-467-8506
Fax Number
314-467-8506
person
Provider Business Mailing Address Details
Address
12800 Boenker Ln
City
State
Zip
63044-2438
Phone Number
314-467-8506
Fax Number
314-467-8506
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Gerontology
Taxonomy
License No.
2020041038 (Missouri)
Definition
Definition to come...
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