Provider Demographics
NPI:1407645781
Name:BARROS, TRISTA ANN (RN)
Entity type:Individual
Prefix:MRS
First Name:TRISTA
Middle Name:ANN
Last Name:BARROS
Suffix:
Gender:
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5246 BENTBROOK DR
Mailing Address - Street 2:
Mailing Address - City:SYLVANIA
Mailing Address - State:OH
Mailing Address - Zip Code:43560-2741
Mailing Address - Country:US
Mailing Address - Phone:419-704-2071
Mailing Address - Fax:
Practice Address - Street 1:5246 BENTBROOK DR
Practice Address - Street 2:
Practice Address - City:SYLVANIA
Practice Address - State:OH
Practice Address - Zip Code:43560-2741
Practice Address - Country:US
Practice Address - Phone:419-704-2071
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-03
Last Update Date:2025-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN.389645163WP0807X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0807XNursing Service ProvidersRegistered NursePsychiatric/Mental Health, Child & Adolescent