Individual provider · Type 1 NPI
Tristan Dean Derloshon, RN
General Practice Registered Nurse · Myrtle Beach, SC
NPI number
1730055971
Active
Practice location
809 82nd Pkwy
Myrtle Beach, SC 29572-4607
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Registered Nurse Primary | 163WG0000X | 272012 (SC) |
General Practice Registered Nurse: Definition to come...
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About NPI 1730055971
Tristan Dean Derloshon, RN's National Provider Identifier is 1730055971, issued on Oct 15, 2025. The primary taxonomy on file is General Practice Registered Nurse (163WG0000X), and the practice location is in Myrtle Beach, SC. The record was last updated on Oct 16, 2025.