Individual
MR. TRAVIS VINCENT POE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NURSE PRACTITIONER
Contact information
Practice address
9900 BREN RD E, MINNETONKA, MN 55343-9664
(832) 906-1921
Mailing address
9900 BREN ROAD EAST, MAIL ROUTE MN 008-B213, MINNETONKA, MN 55343-3827
(832) 906-1921
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
737088
TX
Other
Enumeration date
07/03/2010
Last updated
09/21/2020
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