Individual
KATHY LYNN BRISTOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP-PMHBC
Contact information
Practice address
49 ROCK SPRINGS RD, CONOWINGO, MD 21918-1352
(410) 378-9696
(410) 378-9922
Mailing address
PO BOX 99, CONOWINGO, MD 21918-0099
(410) 378-9696
(410) 378-9922
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
R096544
MD
Other
Enumeration date
02/24/2021
Last updated
04/24/2024
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