Individual
TRAVIS ERICKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DNP
Contact information
Practice address
401 9TH AVE NW, WATERTOWN, SD 57201-1548
(605) 882-7000
(605) 882-7819
Mailing address
PO BOX 1210, WATERTOWN, SD 57201-6210
(605) 882-7000
(605) 882-7819
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
7183
MN
363LF0000X
Family Nurse Practitioner
Primary
CP001466
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1467927657
—
MN
Enumeration date
10/04/2018
Last updated
06/26/2024
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