Bristow, Teirza D
Bristow, Teirza D is an individual health care provider with primary practice located at 25 Jacobs Gulch Rd , Kellogg ID 83837-2023. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Primary Care, which is considered as her primary health care specialty. Bristow, Teirza D can be contacted via phone (208) 784-4612.Contact Information
Primary practice address
25 Jacobs Gulch Rd
Kellogg ID 83837-2023
Phone: (208) 784-4612
Fax: (208) 783-1342
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Primary Care | 363LP2300X | 59228 | Idaho |
Profile Details
| NPI number | 1700363348 |
|---|---|
| LBN Legal business name | Bristow, Teirza D |
| Credentials | ARNP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 26th, 2018 |
| Last updated | Jul 26th, 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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