Healthcare Provider Details
I. General information
NPI: 1073995064
Provider Name (Legal Business Name): TRISTIN CADLE FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 06/25/2015
Last Update Date: 04/15/2026
Certification Date: 04/15/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
429 4TH AVE FL 7
PITTSBURGH PA
15219-1500
US
IV. Provider business mailing address
429 4TH AVE FL 7
PITTSBURGH PA
15219-1500
US
V. Phone/Fax
- Phone: 888-731-8994
- Fax:
- Phone: 888-731-8994
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 363LF0000X |
| Taxonomy | Family Nurse Practitioner |
| License Number | 339854 |
| License Number State | NY |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363L00000X |
| Taxonomy | Nurse Practitioner |
| License Number | SP027291 |
| License Number State | PA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: