Individual provider · Type 1 NPI

Shannon Bristow

Family Nurse Practitioner · Boise, ID

NPI number 1831890458 Active

About NPI 1831890458

Shannon Bristow's National Provider Identifier is 1831890458, issued on Mar 10, 2023. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Boise, ID. The record was last updated on Oct 27, 2026.