| Organization Name: | DEBBIE BRISTOL APN LLC |
| NPI Number: | 1043412307 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DEBBIE JEAN BRISTOL (MANAGING MEMBER) |
| Mailing Address: | 475 8th St Elko |
| State: | NV US |
| Postal Code: | 898013852 |
| Phone Number: | 7757771510 |
| Fax Number: | 7757778783 |
| NPI Enumeration Date: | 05/31/2007 |
| NPI Last Update Date: | 04/04/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 00276 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NV |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |