Bristol, Marlene M.

Bristol, Marlene M. is an individual health care provider with primary practice located at 65 Main St N , Wells River VT 05081-9692. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Bristol, Marlene M. can be contacted via phone (802) 757-2325.

Contact Information

Primary practice address
65 Main St N Wells River VT 05081-9692
Phone: (802) 757-2325
Fax: (802) 757-3215
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 1010020753 Vermont
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 0370502303 New Hampshire

Profile Details

NPI number 1982659132
LBN Legal business name Bristol, Marlene M.
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date May 24th, 2006
Last updated Jan 4th, 2018 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1982659132 NPPES
Vermont MEDICAID 0NP1026
Vermont Other 500012460

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