TRISTAN ISACKSEN

BOSTON, MA
NPI1376419283
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: MA  APRN10005192)
Enumeration Date2025-10-16
Last Update Date2025-12-08
Business Address
TRISTAN ISACKSEN NP
186 LINCOLN ST STE 214
BOSTON, MA 02111-2403
Phone number: 212-203-1773
Mailing Address
TRISTAN ISACKSEN NP
274 MADISON AVE RM 1501
NEW YORK, NY 10016-0701
Phone number: 212-203-1773
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