Individual
BRISTEENA K PETER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
122 BROADSTONE ST, LANCASTER, PA 17603
(717) 538-9208
Mailing address
122 BROADSTONE ST, LANCASTER, PA 17603
(717) 538-9208
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
579061
PA
Other
Enumeration date
01/18/2020
Last updated
01/18/2020
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