Individual
TRISTAN TAVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DNP, CRNP, PMHNP-BC
Contact information
Practice address
2400 GORDON SMITH DR, MOBILE, AL 36617-2319
(251) 473-4423
Mailing address
5750A SOUTHLAND DR, MOBILE, AL 36693-3316
(251) 450-2211
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
1-137456
AL
Other
Enumeration date
09/28/2015
Last updated
12/12/2016
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