person
Teirza D Bristow, ARNP
Primary Care Nurse Practitioner in Kellogg, Idaho
NPI 1700363348

Teirza D Bristow is a Primary Care Nurse Practitioner based in Kellogg, ID and is specialized in Primary Care. Teirza D Bristow practices in Kellogg, ID and has the professional credentials of ARNP. The NPI Number for Teirza D Bristow is 1700363348 and holds a License No. 59228 (Idaho).

The current practice location address for Teirza D Bristow is 25 Jacobs Gulch Rd, Kellogg, ID and can be reached out via phone at 208-784-4612 and via fax at 208-783-1342. You can also correspond with Teirza D Bristow through the mailing address at 25 JACOBS GULCH RD, KELLOGG, ID - 83837-2023 (mailing address contact number: 208-784-4612).

Location: 25 Jacobs Gulch Rd, Kellogg, ID, 83837-2023
person
Provider Profile Details
NPI Number
1700363348
Provider Name
Teirza D Bristow
Credential
ARNP
Provider Entity Type
Individual
Gender
Female
Address
25 Jacobs Gulch Rd, Kellogg, ID, 83837-2023
Phone Number
208-784-4612
Fax Number
208-783-1342
Provider Enumeration Date
07/26/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
25 Jacobs Gulch Rd
City
State
Zip
83837-2023
Phone Number
208-784-4612
Fax Number
208-783-1342
person
Provider Business Mailing Address Details
Address
25 Jacobs Gulch Rd
City
State
Zip
83837-2023
Phone Number
208-784-4612
Fax Number
208-783-1342
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Primary Care
Taxonomy
License No.
59228 (Idaho)
Definition
Definition to come...
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