Individual
CRYSTAL MOORE TRAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
301 DEMONBREUN ST UNIT 1713, NASHVILLE, TN 37201-2246
(615) 866-7492
Mailing address
301 DEMONBREUN ST UNIT 1713, NASHVILLE, TN 37201-2246
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
32686
TN
Other
Enumeration date
10/10/2022
Last updated
10/10/2022
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