Individual provider · NPI-1
Nancy Jane Bristow, RN, BSN, CDE
Registered Nurse, Diabetes Educator · Fort Worth, TX
NPI number1801816830
StatusActive
Last updated in NPPESJul 16, 2007
Details
- NPI
- 1801816830
- Entity type
- Individual (NPI-1)
- Name
- Nancy Jane Bristow
- Credential
- RN, BSN, CDE
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 20, 2006
- Last updated
- Jul 16, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163WD0400X | Registered Nurse, Diabetes Educator | 255659 | TX | Yes |
Other names
- Nancy Nicoll Bristow (Professional Name)
Practice location
1325 Pennsylvania AveSuite 560
Fort Worth, TX 76104-2158
Phone 817-820-2890
Mailing address
1325 Pennsylvania AveSuite 560
Fort Worth, TX 76104-2158
Phone 817-820-2890
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