# MR. TRAVIS WADE MAULE

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1801305586
- **Gender:** Man
- **Credential:** MSN, APRN, FNP-C

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207P00000X | Emergency Medicine Physician | 0024175680 | VA | — |
| 363L00000X | Nurse Practitioner | 0024175680 | VA | Yes |

## Other

- **Enumeration date:** 09/25/2017
- **Last updated:** 08/29/2022