Healthcare Provider Details

I. General information

NPI: 1225963465
Provider Name (Legal Business Name): TRISTA NICOLE COCHRAN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/17/2026
Last Update Date: 06/17/2026
Certification Date: 06/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

147 RED BANK AVE
BLUEFIELD WV
24701-7583
US

IV. Provider business mailing address

147 RED BANK AVE
BLUEFIELD WV
24701-7583
US

V. Phone/Fax

Practice location:
  • Phone: 304-922-6542
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171000000X
TaxonomyMilitary Health Care Provider
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: