Provider Demographics
NPI:1750044376
Name:HATTON, TRISTAN K (NP)
Entity Type:Individual
Prefix:
First Name:TRISTAN
Middle Name:K
Last Name:HATTON
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:TRISTAN
Other - Middle Name:K
Other - Last Name:ALLDREDGE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 760
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:IN
Mailing Address - Zip Code:47501-0760
Mailing Address - Country:US
Mailing Address - Phone:812-254-7310
Mailing Address - Fax:812-254-8629
Practice Address - Street 1:1314 E WALNUT ST
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:IN
Practice Address - Zip Code:47501-2132
Practice Address - Country:US
Practice Address - Phone:812-254-2760
Practice Address - Fax:812-254-8629
Is Sole Proprietor?:No
Enumeration Date:2021-10-20
Last Update Date:2023-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN71011652A363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health