Provider Demographics
NPI:1255149159
Name:BISHOP, BREE ANNA MARIE (FNP-BC)
Entity type:Individual
Prefix:
First Name:BREE ANNA
Middle Name:MARIE
Last Name:BISHOP
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:BREE
Other - Middle Name:
Other - Last Name:BISHOP
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:FNP-BC
Mailing Address - Street 1:8231 SW 3RD ST
Mailing Address - Street 2:
Mailing Address - City:BLUE SPRINGS
Mailing Address - State:MO
Mailing Address - Zip Code:64014-7843
Mailing Address - Country:US
Mailing Address - Phone:816-301-3837
Mailing Address - Fax:
Practice Address - Street 1:8231 SW 3RD ST
Practice Address - Street 2:
Practice Address - City:BLUE SPRINGS
Practice Address - State:MO
Practice Address - Zip Code:64014-7843
Practice Address - Country:US
Practice Address - Phone:816-301-3837
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-12-23
Last Update Date:2024-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2024049054207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine