Individual
TRAVIS MYKEL HAWKSLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
93 CAMPUS AVE, LEWISTON, ME 04240-6030
(207) 777-8442
(207) 777-8425
Mailing address
300 MAIN ST, LEWISTON, ME 04240-7027
(207) 795-0111
(207) 795-2766
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RNA153035
ME
Other
Enumeration date
03/20/2012
Last updated
10/22/2021
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