# LEE ANN BRISTOW

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1124099924
- **Gender:** F
- **Credential:** APRN-CNM, MS

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 367A00000X | Advanced Practice Midwife | 268563 | OH | Yes |

## Other

- **Enumeration date:** 01/30/2006
- **Last updated:** 07/12/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 2137968 | — | MA |