person
Travis James Williams
Family Nurse Practitioner in Pocatello, Idaho
NPI 1912443847

Travis James Williams is a Family Nurse Practitioner based in Pocatello, ID and is specialized in Family. Travis James Williams practices in Pocatello, ID. The NPI Number for Travis James Williams is 1912443847 and holds a License No. 11012549 (Idaho).

The current practice location address for Travis James Williams is 475 Yellowstone Ave Ste J, Pocatello, ID and can be reached out via phone at 208-242-3376 and via fax at 208-242-3245.

Location: 475 Yellowstone Ave Ste J, Pocatello, ID, 83201-2832
person
Provider Profile Details
NPI Number
1912443847
Provider Name
Travis James Williams
Credential
Provider Entity Type
Individual
Gender
Male
Address
475 Yellowstone Ave Ste J, Pocatello, ID, 83201-2832
Phone Number
208-242-3376
Fax Number
208-242-3245
Provider Enumeration Date
01/17/2017
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
11012549 01 FL FLORIDA APRN
institution
Provider Business Practice Location Address Details
Address
475 Yellowstone Ave Ste J
City
State
Zip
83201-4528
Phone Number
208-242-3376
Fax Number
208-242-3245
person
Provider Business Mailing Address Details
Address
475 Yellowstone Ave Ste J
City
State
Zip
83201-4528
Phone Number
208-242-3376
Fax Number
208-242-3245
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
11012549 (Florida)
Definition
Definition to come...
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