Provider Demographics
NPI:1881378008
Name:BRISTOW, MARGUERITE ELIZABETH (DNP, APRN, FNP-C)
Entity type:Individual
Prefix:DR
First Name:MARGUERITE
Middle Name:ELIZABETH
Last Name:BRISTOW
Suffix:
Gender:F
Credentials:DNP, APRN, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2772 OVERLOOK BLVD UNIT A
Mailing Address - Street 2:
Mailing Address - City:HELENA
Mailing Address - State:MT
Mailing Address - Zip Code:59601-1454
Mailing Address - Country:US
Mailing Address - Phone:406-465-9286
Mailing Address - Fax:
Practice Address - Street 1:2772 OVERLOOK BLVD UNIT A
Practice Address - Street 2:
Practice Address - City:HELENA
Practice Address - State:MT
Practice Address - Zip Code:59601-1454
Practice Address - Country:US
Practice Address - Phone:406-465-9286
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-06-09
Last Update Date:2023-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MTNUR-APRN-LIC-216067363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily