Individual
TRISTAN ISACKSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
186 LINCOLN ST STE 214, BOSTON, MA 02111-2403
(212) 203-1773
(646) 665-4427
Mailing address
274 MADISON AVE RM 1501, NEW YORK, NY 10016-0701
(212) 203-1773
(646) 665-4427
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN10005192
MA
Other
Enumeration date
10/16/2025
Last updated
12/08/2025
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