person
Ellen Perez Travis, NP
Family Nurse Practitioner in San Jose, California
NPI 1396743217

Ellen Perez Travis is a Family Nurse Practitioner based in Campbell, CA and is specialized in Family. Ellen Perez Travis practices in San Jose, CA and has the professional credentials of NP. The NPI Number for Ellen Perez Travis is 1396743217 and holds a License No. 418417-9309 (California).

The current practice location address for Ellen Perez Travis is 751 S Bascom Ave, San Jose, CA and can be reached out via phone at 408-885-6780. You can also correspond with Ellen Perez Travis through the mailing address at 542 VALLEY FORGE WAY, CAMPBELL, CA - 95008-0547 (mailing address contact number: 408-793-6771).

Location: 751 S Bascom Ave, San Jose, CA, 95008-0547
person
Provider Profile Details
NPI Number
1396743217
Provider Name
Ellen Perez Travis
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
751 S Bascom Ave, San Jose, CA, 95008-0547
Phone Number
408-885-6780
Fax Number
Provider Enumeration Date
07/13/2005
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
751 S Bascom Ave
City
State
Zip
95128-2604
Phone Number
408-885-6780
Fax Number
person
Provider Business Mailing Address Details
Address
542 Valley Forge Way
City
State
Zip
95008-0547
Phone Number
408-793-6771
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
418417-9309 (California)
Definition
Definition to come...
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