Bristow, Kristina Allane

Bristow, Kristina Allane is an individual health care provider with primary practice located at 2728 Sunset Blvd Ste 300 , West Columbia SC 29169-4815. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Bristow, Kristina Allane can be contacted via phone (803) 744-4940.

Contact Information

Primary practice address
2728 Sunset Blvd Ste 300 West Columbia SC 29169-4815
Phone: (803) 744-4940
Fax: (803) 744-4938
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 22710 South Carolina

Profile Details

NPI number 1700345303
LBN Legal business name Bristow, Kristina Allane
Credentials FNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 14th, 2019
Last updated Oct 15th, 2020 - about 4 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 1700345303 NPPES
South Carolina MEDICAID NP5841

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