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Individual

AMANDA MARIE TRAVER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
1650 COWLES ST, FAIRBANKS, AK 99701-5925
(907) 458-5556
(907) 458-5553
Mailing address
3875 GEIST RD STE E # 208, FAIRBANKS, AK 99709-3549
(907) 452-5954

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
949
AK

Other

Enumeration date
05/14/2007
Last updated
07/08/2007
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