Individual
MARTINA MARIE TRAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3401 N BROAD ST, PHILADELPHIA, PA 19140-5103
(215) 707-3326
Mailing address
3500 N BROAD ST RM 1A, PHILADELPHIA, PA 19140-4106
(215) 707-2411
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
L1-0045195
DE
367500000X
Certified Registered Nurse Anesthetist
Primary
RN664574
PA
Other
Enumeration date
08/22/2023
Last updated
06/26/2025
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