DIANE BRISTOL CFNP
NPI 1689888679
Nurse Practitioner - Family in St Charles, IL
Active since May 09, 2007
3310 W MAIN ST, SUITE 200, ST CHARLES, IL 60175(630) 897-6044(630) 897-0180 Get Directions Write a Review
About Diane Bristol Cfnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DIANE BRISTOL CFNP (NPI 1689888679) is an individual family provider in St Charles, Illinois, licensed in Illinois (209-006337) and active in the NPI registry since May 2007.
NPPES Registry Identity
NPI1689888679
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameDIANE BRISTOLCredential: CFNP
Location Address3310 W MAIN ST, SUITE 200St Charles, IL 60175-1000
Mailing AddressPo Box 657St Charles, IL 60174-0657 · (630) 897-6044 · Fax (630) 897-0180
Phone(630) 897-6044
Fax(630) 897-0180
Sole ProprietorNo
Enumeration DateMay 9, 2007
Last NPPES UpdateDecember 7, 2015
✔ NPI 1689888679 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in IL · 209-006337
3310 W MAIN ST, St Charles, IL 60175
Other Providers at the Same Location NPPES 15
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Obstetrics & Gynecology
3310 W MAIN ST, SUITE 200
ST CHARLES, IL 60175
ST CHARLES, IL 60175
Surgery (Plastic and Reconstructive Surgery)
3310 W MAIN ST, SUITE 200
ST CHARLES, IL 60175
ST CHARLES, IL 60175
Nurse Practitioner (Pediatrics)
3310 W MAIN ST, SUITE 200
ST CHARLES, IL 60175
ST CHARLES, IL 60175
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1689888679, enumerated as an "individual" on May 09, 2007.
The provider is located at 3310 W MAIN ST SUITE 200 ST CHARLES, IL 60175 and the phone number is (630) 897-6044.
Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.
