Individual
COURTENAY TRAVERSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
4600 TEASLEY LN, DENTON, TX 76210-3405
(940) 307-1020
Mailing address
2312 CREEK CROSSING DR, CORINTH, TX 76210-3607
(940) 331-1329
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
903714
TX
363LF0000X
Family Nurse Practitioner
Primary
1030888
TX
Other
Enumeration date
02/09/2021
Last updated
01/21/2025
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