NPI 1700363348

Teirza D Bristow, ARNP

Practitioner Primary Care Nurse Practitioner Kellogg, ID

Practice location

Address: 100 McKinley Ave, Kellogg, ID 83837-2502
Phone: (208) 667-2600
Fax: (208) 625-2051
Mailing address: 613 McKinley Ave, Kellogg, ID 83837-2520

Registered specialties

Primary Care Nurse Practitioner Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363LP2300X Licence 59228 (ID)

Other Nurse Practitioner providers in Idaho →

Registry record

NPI: 1700363348
Entity type: Individual
Sex (as registered): Female
NPI issued: 26 Jul 2018
Record last updated: 17 Apr 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.