Individual
MARSHA TRAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
701 25TH AVE S, #402, MINNEAPOLIS, MN 55454-1513
(612) 672-2900
Mailing address
701 25TH AVE S STE 402, MINNEAPOLIS, MN 55454-1443
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
R0971472
MN
Other
Enumeration date
02/22/2006
Last updated
05/15/2008
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