IndividualActive
Teirza Bristow, ARNP
NPI 1700363348 · Primary Care Nurse Practitioner · Kellogg, ID
Provider details
- NPI number
- 1700363348
- Entity type
- Individual
- Primary specialty
- Primary Care Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- ARNP
- Sex
- Female
- Sole proprietor
- No
- License
- 59228 (ID)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
100 Mckinley Ave
Kellogg, ID 83837-2502
Phone: (208) 667-2600
Fax: (208) 625-2051
Approximate (ZIP-level) locationGet directions
Mailing address
613 Mckinley Ave
Kellogg, ID 83837-2520
Registry dates
- Enumerated
- 2018-07-26
- Last updated
- 2025-04-17
- Certified
- 2025-04-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.