Update this page – If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS.
Individual
TRISTAN FREEMAN
Active
Individual
TRISTAN FREEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
28193128A
IN
363LF0000X
Family Nurse Practitioner
Primary
71006353A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000001025857
ANTHEM PROVIDER NUMBER
IN
05
—
201370150
—
IN
Enumeration date
02/22/2016
Last updated
02/02/2021
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