Individual
TRAVIS JOHN WEISS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Taxonomy
Speciality
Code
Description
License number
State
146L00000X
Paramedic
MED-PARA-LIC-31801
MT
163WC0200X
Critical Care Medicine Registered Nurse
NUR-RN-LIC-72439
MT
163WF0300X
Flight Registered Nurse
Primary
NUR-RN-LIC-72439
MT
Other
Enumeration date
10/21/2019
Last updated
10/21/2019
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