Individual
CAROL E TRAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
18200 LORAIN AVE, CLEVELAND, OH 44111-5605
(216) 476-7606
(216) 476-6967
Mailing address
18200 LORAIN AVE, CLEVELAND, OH 44111-5605
(216) 476-7606
(216) 476-6967
Taxonomy
Speciality
Code
Description
License number
State
163WW0101X
Ambulatory Women's Health Care Registered Nurse
Primary
RN079550
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000311622
ANTHEM BC /BS
OH
05
—
2373499
—
OH
01
—
353419
WELLCARE
OH
01
—
500030376
RAILROAD CARE
OH
Enumeration date
05/28/2006
Last updated
06/06/2008
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