Individual
TRAVIS BOSTIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BSN,RN
Contact information
Practice address
1546 W 42ND ST, NORFOLK, VA 23508-2208
(757) 405-7467
Mailing address
1546 W 42ND ST, NORFOLK, VA 23508-2208
(757) 405-7467
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
0001304977
VA
163WP0000X
Pain Management Registered Nurse
0001304977
VA
163WW0000X
Wound Care Registered Nurse
0001304977
VA
372600000X
Adult Companion
0001304977
VA
Other
Enumeration date
09/30/2025
Last updated
09/30/2025
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