Individual
MARTHA TRAVIOLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3909 MEXICO RD, SAINT PETERS, MO 63376-6408
(765) 569-3178
Mailing address
3909 MEXICO RD, SAINT PETERS, MO 63376-6408
(765) 569-3178
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
28224984A
IN
363L00000X
Nurse Practitioner
Primary
28224984A
IN
Other
Enumeration date
02/11/2025
Last updated
01/27/2026
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