Provider Demographics
NPI:1538716527
Name:BISCHOFF, CHYRSTIN (RN)
Entity type:Individual
Prefix:MISS
First Name:CHYRSTIN
Middle Name:
Last Name:BISCHOFF
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2163 SHAMROCK PL
Mailing Address - Street 2:
Mailing Address - City:CHASKA
Mailing Address - State:MN
Mailing Address - Zip Code:55318-5404
Mailing Address - Country:US
Mailing Address - Phone:952-807-6798
Mailing Address - Fax:
Practice Address - Street 1:2163 SHAMROCK PL
Practice Address - Street 2:
Practice Address - City:CHASKA
Practice Address - State:MN
Practice Address - Zip Code:55318-5404
Practice Address - Country:US
Practice Address - Phone:952-807-6798
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-08-23
Last Update Date:2019-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN2460985163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse