Denali Bishop

Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Lynn Haven, FL

NPI 1558092064 · NPPES record last updated Jun 23, 2022

Key facts

NPI
1558092064
Entity type
Individual (NPI type 1)
Primary specialty
Student in an Organized Health Care Education/Training Program 390200000X
Practice address
1504 Iowa Ave
Lynn Haven, FL 32444-3929
Phone
(850) 348-0703
NPI assigned
Jun 23, 2022
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X
Student in an Organized Health Care Education/Training Program 390200000X Yes

Addresses

Primary practice location

1504 Iowa Ave
Lynn Haven, FL 32444-3929

Mailing address

11000 University Pkwy
Pensacola, FL 32514-5732

Other providers in Lynn Haven, FL

All providers in Lynn Haven, FL · Student in an Organized Health Care Education/Training Program in Florida

Sources for this page

Verify at the official NPI Registry.