Provider Demographics
NPI:1710345335
Name:ARMES, TRISTA (FNP-C)
Entity Type:Individual
Prefix:
First Name:TRISTA
Middle Name:
Last Name:ARMES
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:TRISTA
Other - Middle Name:K
Other - Last Name:AMOS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:520 S 7TH ST
Mailing Address - Street 2:
Mailing Address - City:VINCENNES
Mailing Address - State:IN
Mailing Address - Zip Code:47591-1038
Mailing Address - Country:US
Mailing Address - Phone:812-886-6565
Mailing Address - Fax:812-886-6566
Practice Address - Street 1:520 S 7TH ST
Practice Address - Street 2:
Practice Address - City:VINCENNES
Practice Address - State:IN
Practice Address - Zip Code:47591-1038
Practice Address - Country:US
Practice Address - Phone:812-886-6565
Practice Address - Fax:812-886-6566
Is Sole Proprietor?:No
Enumeration Date:2016-02-10
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN71006045A363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN1649432071OtherGROUP NPI
IN71006045BOtherINDIANA CSR
IN258190OtherGROUP MEDICARE NUMBER
IN200922190AOtherGROUP MEDICAID NUMBER
IN71006045AOtherLICENSE
INMA3785702OtherDEA