Individual
KRISTINA ALLANE BRISTOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
2728 SUNSET BLVD STE 300, WEST COLUMBIA, SC 29169-4815
(803) 744-4940
(803) 744-4938
Mailing address
PO BOX 6069, WEST COLUMBIA, SC 29171-6069
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
22710
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NP5841
—
SC
Enumeration date
03/14/2019
Last updated
10/15/2020
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