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Individual
BREANNE ARLENE TRAVIS
Active
Individual
BREANNE ARLENE TRAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
125.076719
IL
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
Primary
81986
WI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100378346
—
WI
Enumeration date
03/30/2020
Last updated
02/19/2026
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