Provider Demographics
NPI:1396216875
Name:BRISTOW, CHRISTI R (MN, RN, NCSN)
Entity Type:Individual
Prefix:
First Name:CHRISTI
Middle Name:R
Last Name:BRISTOW
Suffix:
Gender:F
Credentials:MN, RN, NCSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:621 LINWOOD AVE SW
Mailing Address - Street 2:
Mailing Address - City:TUMWATER
Mailing Address - State:WA
Mailing Address - Zip Code:98512-8499
Mailing Address - Country:US
Mailing Address - Phone:360-709-7058
Mailing Address - Fax:360-709-7042
Practice Address - Street 1:621 LINWOOD AVE SW
Practice Address - Street 2:
Practice Address - City:TUMWATER
Practice Address - State:WA
Practice Address - Zip Code:98512-8499
Practice Address - Country:US
Practice Address - Phone:360-709-7058
Practice Address - Fax:360-709-7042
Is Sole Proprietor?:No
Enumeration Date:2018-12-10
Last Update Date:2018-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA00087260163WS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WS0200XNursing Service ProvidersRegistered NurseSchool