Azar, Brenda Bishop

Azar, Brenda Bishop is an individual health care provider with primary practice located at 2 College St , Providence RI 02903-2717. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Azar, Brenda Bishop can be contacted via phone (401) 454-6625.

Contact Information

Primary practice address
2 College St Providence RI 02903-2717
Phone: (401) 454-6625
Fax: (401) 454-6628
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X NPP33078 Rhode Island
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X RN161430 Massachusetts

Profile Details

NPI number 1245219898
LBN Legal business name Azar, Brenda Bishop
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 12th, 2006
Last updated Apr 21st, 2017 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1245219898 NPPES
Rhode Island Other 408307 BLUE CHIP
Rhode Island Other 23312-5 BLUE CHIP

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