Individual
TRAVIS BRENT BERNOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
101 W SYCAMORE ST, COLUMBUS, KS 66725-1276
(888) 777-9170
(620) 231-5062
Mailing address
PO BOX 1832, PITTSBURG, KS 66762-1832
(620) 231-9873
(620) 231-5062
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
53-78256-122
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
53-78256-122
KANSAS APRN LISCENS
KS
Enumeration date
06/22/2018
Last updated
04/26/2023
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