Individual
TEIRZA D BRISTOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
100 MCKINLEY AVE, KELLOGG, ID 83837-2502
(208) 667-2600
(208) 625-2051
Mailing address
613 MCKINLEY AVE, KELLOGG, ID 83837-2520
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
59228
ID
Other
Enumeration date
07/26/2018
Last updated
04/17/2025
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