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Contact Information

LISA M BRISTOE, RN
278 DR LASALLE LAFALL DRIVE
QUINCY, FL32351
 Phone: 850-539-2888
 Fax: 850-539-2766
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Registered Nurse

163W00000X
Indicates primary specialty

NPI Profile & details for LISA M BRISTOE · (Female)

NPI # 1457550600
Status Active
Credentials RN (Registered Nurse)
Entity Individual
Enumeration date 07/17/2007
Last updated 07/17/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • FL License # RN3309162
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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