Individual provider · Type 1 NPI
Yvonne Theresa Bristow, RN/GNP
General Practice Registered Nurse · Massapequa Park, NY
NPI number
1194507301
Active
Practice location
41 Birch Ln
Massapequa Park, NY 11762-3910
Mailing address
24 Roberts St
Farmingdale, NY 11735-5042
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Registered Nurse Primary | 163WG0000X | 251802-01 (NY) |
General Practice Registered Nurse: Definition to come...
About NPI 1194507301
Yvonne Theresa Bristow, RN/GNP's National Provider Identifier is 1194507301, issued on Oct 23, 2023. The primary taxonomy on file is General Practice Registered Nurse (163WG0000X), and the practice location is in Massapequa Park, NY. The record was last updated on Oct 23, 2023.