Provider Demographics
NPI:1285410001
Name:BISHOP, CHRISTOPHER GORDON (APRN-BC)
Entity type:Individual
Prefix:MR
First Name:CHRISTOPHER
Middle Name:GORDON
Last Name:BISHOP
Suffix:
Gender:M
Credentials:APRN-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7509 NW 19TH ST
Mailing Address - Street 2:
Mailing Address - City:BETHANY
Mailing Address - State:OK
Mailing Address - Zip Code:73008-5427
Mailing Address - Country:US
Mailing Address - Phone:405-823-4109
Mailing Address - Fax:
Practice Address - Street 1:1215 CROSSROADS BLVD STE 100
Practice Address - Street 2:
Practice Address - City:NORMAN
Practice Address - State:OK
Practice Address - Zip Code:73072-3359
Practice Address - Country:US
Practice Address - Phone:405-310-2715
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-09-06
Last Update Date:2023-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK215034363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily