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Individual

LEEANNA BRISTOL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APN

Contact information

Practice address
2874 N CARSON STREET, SUITE 200, CARSON CITY, NV 89706-1682
(775) 883-9003
(775) 883-0959
Mailing address
2874 N CARSON STREET, SUITE 200, CARSON CITY, NV 89706-1682
(775) 445-7291
(775) 888-3230

Taxonomy

Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
APN001239
NV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
APN001239
APN LICENSE
NV
Enumeration date
04/22/2011
Last updated
04/22/2011
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