Individual provider · Type 1 NPI

Tristan M. Halbrook

Student in an Organized Health Care Education/Training Program · Orlando, FL

NPI number 1063355436 Active

Practice location

52 Underwood St Fl 32806
Orlando, FL 32806-1110

Call (407) 237-6329 Map

Fax (321) 843-3083

Mailing address

2600 Celebration Cv Apt 402
Shreveport, LA 71105-6208

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1063355436

Tristan M. Halbrook's National Provider Identifier is 1063355436, issued on Apr 10, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Orlando, FL. The record was last updated on Apr 10, 2026.