Individual provider · Type 1 NPI
Kelly M. Bistline, APRN
Family Nurse Practitioner · Bonneau, SC
NPI number
1144947391
Active
Practice location
1401 Main St
Bonneau, SC 29431-5013
Fax (843) 825-3407
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 26733 (SC) |
Family Nurse Practitioner: Definition to come...
2 other providers at this address
About NPI 1144947391
Kelly M. Bistline, APRN's National Provider Identifier is 1144947391, issued on Oct 27, 2022. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Bonneau, SC. The record was last updated on Oct 27, 2022.