Individual
ROCHELLE TRAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
25 BAY HILL RD, LAKEWOOD, NJ 08701-3872
(848) 245-4347
Mailing address
25 BAY HILL RD, LAKEWOOD, NJ 08701-3872
(848) 245-4347
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
26NJ01332700
NJ
363LF0000X
Family Nurse Practitioner
26NJ332700
NJ
363LF0000X
Family Nurse Practitioner
348776
NY
Other
Enumeration date
05/12/2022
Last updated
11/07/2022
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