Healthcare Provider Details

I. General information

NPI: 1316877970
Provider Name (Legal Business Name): TRISTAN LYNN CHAPMAN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/22/2026
Last Update Date: 05/22/2026
Certification Date: 05/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

235 SKIDMORE LN
SUTTON WV
26601-9272
US

IV. Provider business mailing address

235 SKIDMORE LN
SUTTON WV
26601-9272
US

V. Phone/Fax

Practice location:
  • Phone: 304-765-4400
  • Fax:
Mailing address:
  • Phone: 304-765-4400
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code175T00000X
TaxonomyPeer Specialist
License Number25-999SUD
License Number StateWV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: