MADELINE MIRANDA BRISTOL

BURIEN, WA
NPI1649070855
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: WA  AP61666273)
Enumeration Date2025-03-17
Last Update Date2025-07-30
Business Address
MADELINE MIRANDA BRISTOL NP
15811 AMBAUM BLVD SW
BURIEN, WA 98166-3066
Phone number: 206-242-8211
Mailing Address
MADELINE MIRANDA BRISTOL NP
15811 AMBAUM BLVD SW STE 110
BURIEN, WA 98166-3071
Phone number: 206-242-8211