Individual
TRAVIS ALBERT IBINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
550 HARBOR COVE LN APT 1300V, CHARLESTON, SC 29412-3023
(608) 212-6698
Mailing address
550 HARBOR COVE LN APT 1300V, CHARLESTON, SC 29412-3023
(608) 212-6698
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
259259
SC
367500000X
Certified Registered Nurse Anesthetist
Primary
041.54890
IL
Other
Enumeration date
03/02/2023
Last updated
05/23/2024
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