Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207Q00000X | Family Doctor | TEP7025 | NE |
Y | 207RG0300X | Geriatric Medicine | 29469 | NE |
NPI | 1144660119 |
---|---|
Provider Name | Dr. Karina Isabel Bishop |
First Address | Omaha, NE 68198-8102 |
Second Address | Omaha, NE 68105-1107 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/07/2013 |
Last Update Date | 23/06/2017 |