Diane Bristol is a Family in St Charles, Illinois. Diane Bristol practices all healthcare services and medical treatments related to Family. The NPI Number for Diane Bristol is 1689888679. The last update date is 2015-12-07.
Diane Bristol's current location address is Po Box 657, St Charles, Illinois. You can contact this provider via phone number 6308976044 and fax number 6308970180. The mailing address for Diane Bristol is Po Box 657, St Charles, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Diane Bristol |
|---|---|
| Address | Po Box 657, St Charles, Illinois |
| Phone Number | 6308976044 |
| Fax Number | 6308970180 |
| Sole Proprietor | N |
| Credentials | CFNP |
NPI Number Detail
| NPI Number | 1689888679 |
|---|---|
| Provider Enumeration Date | 2007-05-09 |
| Last Updated Date | 2015-12-07 |
Provider Mailing Address Detail
| Address | Po Box 657 |
|---|---|
| City | St Charles |
| State | Illinois (IL) |
| Post Code | 601740657 |
| Phone Number | 6308976044 |
| Fax Number | 6308970180 |
Provider's Primary Taxonomy Detail
| Speciality | Family |
|---|---|
| Taxonomy | 363Lf0000X |
| Licence No | 209-006337 |
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Definition: An advanced practice registered nurse expert in primary healthcare for patients of all ages. |
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What is the unique 10-digit identifier code assigned to Diane Bristol by the Centers for Medicare & Medicaid Services?
The Diane Bristol has been issued the NPI (National Provider Identifier) 1689888679 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Can you provide the Diane Bristol's physical address?
The Diane Bristol is physically located at Po Box 657, in the city of St Charles, IL, with the postal code 601740657.
What is the Diane Bristol's specialty and taxonomy code?
The Diane Bristol's specialty is Family, and the corresponding taxonomy code is 363Lf0000X.
When was the Diane Bristol's 1689888679 issued?
The Diane Bristol's 1689888679 was issued on 2007-05-09.
When was the information regarding Diane Bristol most recently updated?
The details pertaining to the Diane Bristol, including its address, specialty, and other relevant information, were last refreshed on 2015-12-07.
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