Tristan Freeman, NP
Nurse Practitioner, Family in West Lafayette, IN. Individual provider (NPI-1).
NPI number1972962736
StatusActive
Last updated in NPPESFeb 2, 2021
Details
- NPI
- 1972962736
- Entity type
- Individual (NPI-1)
- Name
- Tristan Freeman
- Credential
- NP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 22, 2016
- Certification date
- Feb 2, 2021
- Last updated
- Feb 2, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 71006353A | IN | Yes |
| 163W00000X | Registered Nurse | 28193128A | IN |
Other names
- Tristan Sieber (Former Name)
Practice location
253 Sagamore Pkwy WWest Lafayette, IN 47906-1501
Phone 765-448-8000
Mailing address
1200 W White River BlvdMuncie, IN 47303-4988
Phone 877-668-5621
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