Individual
NANCY JANE BRISTOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, BSN, CDE
Contact information
Practice address
1325 PENNSYLVANIA AVE, SUITE 560, FORT WORTH, TX 76104-2158
(817) 820-2890
Mailing address
1325 PENNSYLVANIA AVE, SUITE 560, FORT WORTH, TX 76104-2158
(817) 820-2890
Taxonomy
Speciality
Code
Description
License number
State
163WD0400X
Diabetes Educator Registered Nurse
Primary
255659
TX
Other
Enumeration date
07/20/2006
Last updated
07/16/2007
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