Individual provider · Type 1 NPI
Lakeisha Bristow, NP
Nurse Practitioner · Middletown, NY
Practice location
95 Crystal Run Rd
Middletown, NY 10941-7001
Fax (845) 703-6297
Mailing address
155 Crystal Run Rd
Middletown, NY 10941-4028
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | F309168 (NY) |
Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…
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- Melissa Lynn Wixon, FNP-BCNurse Practitioner Middletown, NY NPI 1255190401
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About NPI 1316581069
Lakeisha Bristow, NP's National Provider Identifier is 1316581069, issued on Nov 5, 2019. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Middletown, NY. The record was last updated on Nov 20, 2019.