Keirstin Bristow, is a
Licensed Practical Nurse based in Moorhead, Minnesota. Keirstin Bristow is licensed to practice in North Dakota (license number L14278) and her current practice location is
3403 10th St S, Apt 307, Moorhead, Minnesota. She can be reached at her office (for appointments etc.) via phone at
(605) 393-7048.
NPI number for Keirstin Bristow is 1386055606 and her current mailing address is 3403 10th St S, Apt 307, Moorhead, Minnesota. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1386055606.
Provider's Profile
| Full Name | Keirstin Bristow |
|---|
| Gender | Female |
|---|
| Speciality | Licensed Practical Nurse |
|---|
| Location | 3403 10th St S, Moorhead, Minnesota |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1386055606
- Provider Enumeration Date: 05/09/2014
- Last Update Date: 05/09/2014
Medical Identifiers
Medical identifiers for Keirstin Bristow such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1386055606 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 164W00000X | Licensed Practical Nurse | L14278 (North Dakota) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Keirstin Bristow is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Keirstin Bristow,
3403 10th St S, Apt 307,
Moorhead, MN 56560-6113
Ph: (605) 393-7048 | Keirstin Bristow,
3403 10th St S, Apt 307,
Moorhead, MN 56560-6113
Ph: (605) 393-7048 |
Reviews and Comments