Individual
TRACEY -LYN IRENE TRAVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
6 SHEP CT, NOVATO, CA 94945-2100
(916) 276-1387
Mailing address
6 SHEP CT, NOVATO, CA 94945-2100
(916) 276-1387
Taxonomy
Speciality
Code
Description
License number
State
163WW0101X
Ambulatory Women's Health Care Registered Nurse
Primary
592213
CA
Other
Enumeration date
02/22/2025
Last updated
02/22/2025
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