Individual
LATWANYA J TRAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2401 S 31ST ST, TEMPLE, TX 76508-0001
(254) 724-2111
Mailing address
PO BOX 844658, DALLAS, TX 75284-4658
(254) 724-2111
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
AP117619
TX
363LF0000X
Family Nurse Practitioner
AP117619
TX
363LF0000X
Family Nurse Practitioner
RN216283
GA
363LP2300X
Primary Care Nurse Practitioner
Primary
AP117619
TX
Other
Enumeration date
02/24/2009
Last updated
01/02/2024
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