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Individual

DEBRA BRISTOL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
1250 S CLEARVIEW AVE, 100, MESA, AZ 85209-3378
(480) 423-4670
(480) 654-2922
Mailing address
976 MOUNTAIN CITY HWY, ELKO, NV 89801-2728
(775) 777-7587
(775) 738-9584

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APN00276
NV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2407009
NV
Enumeration date
10/12/2006
Last updated
12/16/2015
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