Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ANGEL TRAVIS
Active Sole ProprietorANGEL TRAVIS is a Licensed Practical Nurse healthcare provider located in MODENA, New York. NPI 1700694981 is currently active in the NPPES registry. Verify at CMS.
Licensed Practical Nurse · MODENA, NY
Registration Details
- NPI Number
- 1700694981
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Dec 20, 2024 (1.6557590484115 yrs)
- Last Updated
- Dec 20, 2024
- License
-
348509 (NY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1990 STATE ROUTE 32 # 12548MODENA, NY, 125485013Browse NY providers · Browse ZIP 12548
- Phone
- 8454301495
- Primary Specialty
-
Licensed Practical Nurse
164W00000X
Other Licensed Practical Nurse Providers in MODENA, NY
| Name | Credential | NPI |
|---|---|---|
| MARIE JEFFERSON | — | 1457566713 |
| ELLEN PULEO | — | 1467669507 |
| JERRA SANTANIELLO | — | 1053977025 |
| ANN-MARIE CROSS | — | 1477199982 |
| HEATHER ROGER | LPN | 1144920695 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.