Individual
SARAH JESSICA BRISTOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ACNP
Contact information
Practice address
30 E APPLE ST, SUITE 5253, DAYTON, OH 45409-2939
(937) 208-2552
(937) 208-6154
Mailing address
725 UNIVERSITY BLVD, DAYTON, OH 45435-0001
(937) 245-7100
(937) 245-7999
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
COA.16049-NP
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0107943
—
OH
Enumeration date
07/01/2014
Last updated
02/24/2016
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