| Doctor Name: | MRS. STACY REESE BISCHOFF |
| NPI Number: | 1356387229 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RN, NP |
| License Number: | 201967 |
| Business Practice Address: | 5 Bon Air Rd Blgd. D, Suite 219 Larkspur, CA - 949391136 |
| Business Phone Number: | 4152333406 |
| Business Fax Number: | 4159241770 |
| Mailing Address: | 5 Bon Air Rd, Blgd. D Suite219 LARKSPUR |
| State: | CA |
| Postal Code: | 949391143 |
| Phone Number: | 4152333406 |
| Fax Number: | 4159241770 |
| NPI Enumeration Date: | 06/21/2006 |
| NPI Last Update Date: | 10/06/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LW0102X |
| License Number: | 201967 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Women's Health |
| Taxonomy Definition: | |