Provider Demographics
NPI:1548668387
Name:BISHOP, AUBREY SHANNON (DVM)
Entity type:Individual
Prefix:
First Name:AUBREY
Middle Name:SHANNON
Last Name:BISHOP
Suffix:
Gender:F
Credentials:DVM
Other - Prefix:
Other - First Name:AUBREY
Other - Middle Name:SHANNON
Other - Last Name:IVY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DVM
Mailing Address - Street 1:3148 DAVIS BLVD
Mailing Address - Street 2:
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34104-4343
Mailing Address - Country:US
Mailing Address - Phone:239-774-3701
Mailing Address - Fax:239-775-9209
Practice Address - Street 1:3148 DAVIS BLVD
Practice Address - Street 2:
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34104-4343
Practice Address - Country:US
Practice Address - Phone:239-774-3701
Practice Address - Fax:239-775-9209
Is Sole Proprietor?:No
Enumeration Date:2014-12-10
Last Update Date:2014-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL12736174M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174M00000XOther Service ProvidersVeterinarian