TEIRZA D BRISTOW, ARNP, Primary Care KELLOGG, ID

Contact Information

TEIRZA D BRISTOW, ARNP

100 MCKINLEY AVE
KELLOGG, ID 83837-2502

Phone: 208-667-2600
Fax: 208-625-2051
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Primary Care	363LP2300X	50	Nurse Practitioner

Indicates primary specialty

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NPI Profile & details for TEIRZA D BRISTOW · (Female)

NPI Number	`1700363348`
Status	Active
Credentials	ARNP (Advanced Registered Nurse Practitioner)
Entity	Individual
Enumeration date	07/26/2018
Last updated	04/17/2025 - More than a year ago
Sole proprietor ¹	No
Identifiers	ID License # 59228
Hospital affiliation(s)	KOOTENAI MEDICAL CENTER - (Acute Care) 2003 KOOTENAI HEALTH WAY COEUR D'ALENE, ID 83814 SHOSHONE MEDICAL CENTER - (Critical Access) 25 JACOBS GULCH ROAD KELLOGG, ID 83837

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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TEIRZA D BRISTOW, ARNP – NPI #1700363348Primary Care

Contact Information

Specialty

Primary Care

NPI Profile & details for TEIRZA D BRISTOW · (Female)

Reviews for TEIRZA D BRISTOW

TEIRZA D BRISTOW, ARNP – NPI #1700363348
Primary Care