Marlene M Bristol (NPI# 1982659132, PAC ID# 0547205171) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1982659132 |
| PAC ID by PECOS | 0547205171 |
| Professional Enrollment ID | I20050624000082 |
| Full Name | Marlene M Bristol |
| Organization Legal Name | LITTLE RIVERS HEALTH CARE, INC. |
| Address |
720 Village Rd East Corinth VT 05040-9783 |
| Phone Number | 8024395321 |
| Gender | F |
| Credential | NP |
| Graduation Year | 1998 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 8224031497 |
| Number of Group Practice Members | 12 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 301301 | COTTAGE HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 720 Village Rd, East Corinth, VT 05040-9783 | 8024395321 | LITTLE RIVERS HEALTH CARE, INC. |
| 65 Main St, Wells River, VT 05081-3000 | 8077572325 | LITTLE RIVERS HEALTH CARE, INC. |
| Organization Legal Name | LITTLE RIVERS HEALTH CARE, INC. |
| Physicians | 13 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Audrey Johnston | Nurse Practitioner | Little Rivers Health Care, Inc. | 36 Oxbow Dr, Bradford, VT 05033-9037 |
| Erin A Loskutoff | Nurse Practitioner | Little Rivers Health Care, Inc. | 437 S Main St, Little Rivers Hc Inc, Bradford, VT 05033-0338 |
| Simone R Lessac Chenen | Family Medicine | Little Rivers Health Care, Inc. | 720 Village Rd, East Corinth, VT 05040-9783 |
| Kevin J Connolly | Internal Medicine | Little Rivers Health Care, Inc. | 437 S Main St, Little Rivers Hc Inc, Bradford, VT 05033-0338 |
| Alexandra H Perreault | Nurse Practitioner | Little Rivers Health Care, Inc. | 65 Main St, Wells River, VT 05081-3000 |
| Jessie Reynolds | Family Medicine | Little Rivers Health Care, Inc. | 437 S Main St, Little Rivers Hc Inc, Bradford, VT 05033-0338 |
| Ayla R Priestley | Nurse Practitioner | Little Rivers Health Care, Inc. | 437 S Main St, Little Rivers Hc Inc, Bradford, VT 05033-0338 |
| Stephen Genereaux | Family Medicine | Little Rivers Health Care, Inc. | 437 S Main St, Little Rivers Hc Inc, Bradford, VT 05033-0338 |
| Maureen B Boardman | Nurse Practitioner | Little Rivers Health Care, Inc. | 720 Village Rd, East Corinth, VT 05040-9783 |
| Celine J Croft | Nurse Practitioner | Little Rivers Health Care, Inc. | 437 S Main St, Little Rivers Hc Inc, Bradford, VT 05033-0338 |
| Street Address |
720 VILLAGE RD |
| City | EAST CORINTH |
| State | VT |
| Zip | 05040-9783 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Simone R Lessac Chenen | Family Medicine | Little Rivers Health Care, Inc. | 720 Village Rd, East Corinth, VT 05040-9783 |
| Maureen B Boardman | Nurse Practitioner | Little Rivers Health Care, Inc. | 720 Village Rd, East Corinth, VT 05040-9783 |
| City | EAST CORINTH |
| Zip Code | 05040 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | EAST CORINTH + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Marlene M Bristol.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.