Individual
MICHELLE ANN TRAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
2 DUDLEY ST, SUITE 174-185, PROVIDENCE, RI 02905-3236
(401) 421-0710
(401) 421-0796
Mailing address
2 DUDLEY ST, SUITE 174-185, PROVIDENCE, RI 02905-3236
(401) 421-0710
(401) 421-0796
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
NPP37467
RI
Other
Enumeration date
10/21/2010
Last updated
10/21/2010
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