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Individual

HEATHER S TRAVIS

Active
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Individual

HEATHER S TRAVIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R131937
MD
363LA2200X
Adult Health Nurse Practitioner
Primary
R131937
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
7285072
CIGNA
MD
01
88427906
CAREFIRST MD
MD
01
X697-0009
CAREFIRST DC
MD
Enumeration date
05/05/2006
Last updated
07/10/2024
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