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Individual

MRS. KRISTINE MARKLEY BRISTOW

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP, MSN, RN, CS

Contact information

Practice address
8890 N UNION BLVD STE 200, COLORADO SPRINGS, CO 80920-2701
(719) 365-6419
Mailing address
4301 RIDGECREST DR, COLORADO SPRINGS, CO 80918-4323
(719) 268-7199

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
120453
CO
363LF0000X
Family Nurse Practitioner
658
AK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
49684256
CO
Enumeration date
03/18/2006
Last updated
07/08/2010
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