Individual
MADISON TRAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN-CNP
Contact information
Practice address
3333 BURNET AVE ML 1013, CINCINNATI, OH 45229-3026
(513) 636-4466
(513) 636-5846
Mailing address
3333 BURNET AVE ML 1013, CINCINNATI, OH 45229-3026
(513) 636-4466
(513) 636-5846
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN.CNP.0027567
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/01/2020
Last updated
09/21/2020
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