Individual
TRAVIS O'BRIEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
200 1ST ST SW, ROCHESTER, MN 55905-0001
(507) 284-2511
Mailing address
200 1ST ST SW, ROCHESTER, MN 55905-0001
(507) 284-2511
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
2056
MN
367500000X
Certified Registered Nurse Anesthetist
CRNA 2056
MN
Other
Enumeration date
05/03/2017
Last updated
10/02/2020
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