MS. SUSAN BURKE BISHOP ANP
NPI 1114031531
Nurse Practitioner - Pediatrics in Clayton, MO

Q: What is the provider's specialty?

The provider's specialty is Nurse Practitioner with taxonomy code 363LP0200X and a focus in Pediatrics.

Active since August 19, 2006

111 S MERAMEC AVE, CLAYTON, MO 63105(314) 615-8153(314) 615-8303 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Ms. Susan Burke Bishop Anp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. SUSAN BURKE BISHOP ANP (NPI 1114031531) is an individual pediatrics provider in Clayton, Missouri, licensed in Missouri (050356) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1114031531

Entity TypeIndividualFemale

Primary Taxonomy363LP0200X

Provider Legal NameMS. SUSAN BURKE BISHOPCredential: ANP

Location Address111 S MERAMEC AVEClayton, MO 63105-1711

Mailing Address111 S Meramec AveClayton, MO 63105-1711 · (314) 615-8153 · Fax (314) 615-8303

Phone(314) 615-8153

Fax(314) 615-8303

Sole ProprietorNo

Enumeration DateAugust 19, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1114031531 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0200X

License✔ Licensed in MO · 050356

111 S MERAMEC AVE, Clayton, MO 63105

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Other Identifiers 1

Medicare UPINP13047MO

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. BRENDA LEE WALKER ANP

Nurse Practitioner (Women's Health)