SANDRA L BRISTOL ARNP - NPI 1487670402 - Nurse Practitioner in Concord, NH

Q: What is the provider's specialty?

The provider's specialty is Nurse Practitioner with taxonomy code 363LX0001X and a focus in Obstetrics & Gynecology.

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About Sandra L Bristol Arnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SANDRA L BRISTOL ARNP (NPI 1487670402) is an individual obstetrics & gynecology provider in Concord, New Hampshire, licensed in New Hampshire (024772304) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1487670402

Entity TypeIndividualFemale

Primary Taxonomy363LX0001X

Provider Legal NameSANDRA L BRISTOLCredential: ARNP

Location Address189 N MAIN STConcord, NH 03301-5046

Mailing Address189 N Main StConcord, NH 03301-5046 · (603) 228-1111 · Fax (603) 226-4314

Phone(603) 228-1111

Fax(603) 226-4314

Sole ProprietorNo

Enumeration DateJuly 14, 2006

Last NPPES UpdateNovember 25, 2009

✔ NPI 1487670402 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Obstetrics & GynecologyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LX0001X

License✔ Licensed in NH · 024772304

189 N MAIN ST, Concord, NH 03301

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Other Identifiers 3

Medicare UPINS32341NH

Medicaid30002404NH

Medicare ID-Type UnspecifiedNP0212NH

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DONNA L CASSIDY ARNP

Nurse Practitioner (Obstetrics & Gynecology)