Healthcare Provider Details

I. General information

NPI: 1336775337
Provider Name (Legal Business Name): TITISHA MASTEN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: TITISHA COCHRAN APRN

II. Dates (important events)

Enumeration Date: 03/21/2020
Last Update Date: 05/22/2025
Certification Date: 05/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 JARRETT WHITE RD
TRIPLER ARMY MEDICAL CENTER HI
96859-5001
US

IV. Provider business mailing address

1 JARRETT WHITE RD
TRIPLER ARMY MEDICAL CENTER HI
96859-5001
US

V. Phone/Fax

Practice location:
  • Phone: 808-433-5447
  • Fax:
Mailing address:
  • Phone: 808-433-5447
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171000000X
TaxonomyMilitary Health Care Provider
License NumberAPRN-3798
License Number StateHI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: