Individual provider · Type 1 NPI

Decarra D. Bristow, LPN

Licensed Practical Nurse · Rochester, NY

NPI number 1033745203 Active

Practice location

3896 Dewey Ave # 142
Rochester, NY 14616-2527

Call (585) 736-0585 Map

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X337747 (NY)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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About NPI 1033745203

Decarra D. Bristow, LPN's National Provider Identifier is 1033745203, issued on Mar 19, 2020. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Rochester, NY. The record was last updated on Mar 19, 2020.