Individual
TRISTIN EGGLETON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
8530 TOWNSHIP LINE RD, INDIANAPOLIS, IN 46260-1927
(317) 472-8134
Mailing address
203 E MAIN ST, RICHMOND, IN 47374-4208
(765) 973-9294
(765) 973-9233
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
71012867B
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300078673
—
IN
Enumeration date
08/23/2021
Last updated
03/25/2024
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