Individual
ERIC TRAVISS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1210 W 18TH ST STE G01, SIOUX FALLS, SD 57104-4651
(605) 328-2663
(605) 328-3760
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074
(605) 328-6585
(605) 328-6512
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
CP000858
SD
363LF0000X
Family Nurse Practitioner
CP000858
SD
Other
Enumeration date
06/10/2014
Last updated
07/14/2017
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