Individual
HEATHER S TRAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
122 DEFENSE HWY, SUITE 210, ANNAPOLIS, MD 21401
(410) 266-9694
(410) 266-9695
Mailing address
122 DEFENSE HWY, SUITE 210, ANNAPOLIS, MD 21401
(410) 266-9694
(410) 266-9695
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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