AMANDA LEE BISHOP

POUDRE VALLEY MEDICAL GROUP LLC

Dr AMANDA LEE BISHOP is a female medical professional, specializing in Nurse Practitioner. She graduated in 2017.

Contact

POUDRE VALLEY MEDICAL GROUP LLC

2767 JANITELL RD
COLORADO SPRINGS
CO
809064102

Tel: 7193652888

AMANDA LEE BISHOP Information

Npi 1184132771
Pac Id 1254692965
Professional Enrollment Id I20180220002689
Last Name BISHOP
First Name AMANDA
Middle Name LEE
Suffix
Gender F
Credential
Medical School Name OTHER
Graduation Year 2017
Primary Specialty NURSE PRACTITIONER
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name POUDRE VALLEY MEDICAL GROUP LLC
Group Practice Pac Id 9638208549
Number Of Group Practice Members 1002
Line 1 Street Address 2767 JANITELL RD
Line 2 Street Address
Marker Of Address Line 2 Suppression
City COLORADO SPRINGS
State CO
Zip Code 809064102
Phone Number 7193652888
Hospital Affiliation Ccn 1 060022
Hospital Affiliation Lbn 1 UCH-MEMORIAL HEALTH SYSTEM
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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