Individual
MR. TRAVIS JAMES LEGRAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
FNP-BC
Contact information
Practice address
1065 E FLAMINGO RD APT 824, LAS VEGAS, NV 89119-7438
(702) 518-8866
Mailing address
1065 E FLAMINGO RD APT 824, LAS VEGAS, NV 89119-7438
(337) 251-1598
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
872509
NV
Other
Enumeration date
11/22/2023
Last updated
11/22/2023
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