Individual
JANET ERIN BRISTOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C, WHNP-BC, RN
Contact information
Practice address
1145 STURGIS RD, TWENTYNINE PALMS, CA 92284-9228
(760) 830-2190
Mailing address
4301 JONES BRIDGE RD, BETHESDA, MD 20814-4712
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
259440
AZ
363LW0102X
Women's Health Nurse Practitioner
259440
AZ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
259440
NURSE PRACTITIONER LICENSE
AZ
Enumeration date
09/27/2018
Last updated
08/23/2021
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