Individual provider · Type 1 NPI

Mark Douglas Bishop

Psychiatric/Mental Health Registered Nurse · San Luis Obispo, CA

NPI number 1225196579 Active

Practice location

2178 Johnson Ave
San Luis Obispo, CA 93401-4535

Mailing address

10935 San Marcos Rd
Atascadero, CA 93422-2185

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Registered Nurse Primary 163WP0808X509248 (CA)

Psychiatric/Mental Health Registered Nurse: Definition to come...

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About NPI 1225196579

Mark Douglas Bishop's National Provider Identifier is 1225196579, issued on Dec 5, 2006. The primary taxonomy on file is Psychiatric/Mental Health Registered Nurse (163WP0808X), and the practice location is in San Luis Obispo, CA. The record was last updated on Jul 8, 2007.