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Individual

PAMELA W TRAVIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN37386
ME
363L00000X
Nurse Practitioner
CNP81008
ME
363LA2200X
Adult Health Nurse Practitioner
CNP81008
ME
363LF0000X
Family Nurse Practitioner
Primary
CNP81008
ME

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1376659102
ME
Enumeration date
08/22/2006
Last updated
06/02/2025
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