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Individual
TRAVIS HAMILTON WASCHEK
Active
Individual
TRAVIS HAMILTON WASCHEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-C
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
280721
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
157360
—
AZ
Enumeration date
08/15/2022
Last updated
01/24/2023
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