Provider Demographics
NPI:1003570318
Name:BRISTLE, TONYA ROBINSON (FNP-C)
Entity Type:Individual
Prefix:
First Name:TONYA
Middle Name:ROBINSON
Last Name:BRISTLE
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:174 SUMMIT AVE
Mailing Address - Street 2:
Mailing Address - City:SPRUCE PINE
Mailing Address - State:NC
Mailing Address - Zip Code:28777-2980
Mailing Address - Country:US
Mailing Address - Phone:828-520-1572
Mailing Address - Fax:
Practice Address - Street 1:174 SUMMIT AVE
Practice Address - Street 2:
Practice Address - City:SPRUCE PINE
Practice Address - State:NC
Practice Address - Zip Code:28777-2980
Practice Address - Country:US
Practice Address - Phone:828-520-1572
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-10-25
Last Update Date:2023-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC5015892363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily