Individual provider · Type 1 NPI
Carine Bristout, NURSE PRACTITIONER
Family Nurse Practitioner · New York, NY
NPI number
1487873741
Active
Practice location
560 1st Ave, Tisch Room 183
New York, NY 10016-6402
Fax (212) 263-2084
Mailing address
196 W Madison Ave, Unit 3
Dumont, NJ 07628-3366
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 333654 (NY) |
Family Nurse Practitioner: Definition to come...
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About NPI 1487873741
Carine Bristout, NURSE PRACTITIONER's National Provider Identifier is 1487873741, issued on Apr 25, 2007. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in New York, NY. The record was last updated on Jul 8, 2007.