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Nicholas Richard Travis, FNP
Family Nurse Practitioner in St Petersburg, Florida
NPI 1669013033

Nicholas Richard Travis is a Family Nurse Practitioner based in St Petersburg, FL and is specialized in Family. Nicholas Richard Travis practices in St Petersburg, FL and has the professional credentials of FNP. The NPI Number for Nicholas Richard Travis is 1669013033 and holds a License No. 11003857 (Florida).

The current practice location address for Nicholas Richard Travis is 3501 54Th Ave S, St Petersburg, FL and can be reached out via phone at 727-864-1546.

Location: 3501 54Th Ave S, St Petersburg, FL, 33711-4541
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1669013033
Provider Name
Nicholas Richard Travis
Credential
FNP
Provider Entity Type
Individual
Gender
Male
Address
3501 54Th Ave S, St Petersburg, FL, 33711-4541
Phone Number
727-864-1546
Fax Number
Provider Enumeration Date
10/07/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3501 54Th Ave S
City
St Petersburg
State
Florida
Zip
33711-4541
Phone Number
727-864-1546
Fax Number
person
Provider Business Mailing Address Details
Address
3501 54Th Ave S
City
St Petersburg
State
Florida
Zip
33711-4541
Phone Number
727-864-1546
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
11003857 (Florida)
Definition
Definition to come...
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