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Individual
MS. MARLENE M. BRISTOL
Active
Individual
MS. MARLENE M. BRISTOL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
0370502303
NH
363L00000X
Nurse Practitioner
Primary
1010020753
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0NP1026
—
VT
01
—
500012460
RAIL ROAD MEDICARE
VT
Enumeration date
05/24/2006
Last updated
12/02/2024
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