Healthcare Provider Details

I. General information

NPI: 1134646508
Provider Name (Legal Business Name): TRISTIN FAWN SCHAB ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/27/2017
Last Update Date: 02/25/2026
Certification Date: 02/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1776 FOWLER ST
RICHLAND WA
99352-4833
US

IV. Provider business mailing address

1776 FOWLER ST
RICHLAND WA
99352-4833
US

V. Phone/Fax

Practice location:
  • Phone: 509-735-9355
  • Fax: 509-222-1151
Mailing address:
  • Phone: 509-735-9355
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN00166074
License Number StateWA
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAP60818380
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: