Krista Rose Travis in Lyndonville - Licensed Practical Nurse
Krista Rose Travis - NPI 1063624039
Krista Rose Travis is a Licensed Practical Nurse in Lyndonville, New York. Krista Rose Travis practices all healthcare services and medical treatments related to Licensed Practical Nurse. The NPI Number for Krista Rose Travis is 1063624039. The last update date is 2007-07-08.
Krista Rose Travis's current location address is 1554 Murdock Rd, Lyndonville, New York. You can contact this provider via phone number 5857653955. The mailing address for Krista Rose Travis is 1554 Murdock Rd, Lyndonville, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Krista Rose Travis |
|---|---|
| Address | 1554 Murdock Rd, Lyndonville, New York |
| Phone Number | 5857653955 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | LPN |
NPI Number Detail
| NPI Number | 1063624039 |
|---|---|
| Provider Enumeration Date | 2007-05-04 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1554 Murdock Rd |
|---|---|
| City | Lyndonville |
| State | New York (NY) |
| Post Code | 140989731 |
| Phone Number | 5857653955 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Licensed Practical Nurse |
|---|---|
| Taxonomy | 164W00000X |
| Licence No | 276679-1 |
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Definition: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job r |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2570285 | NY | -- |
Post Comment/ Review Below
What is the Krista Rose Travis's unique identification number?
The Krista Rose Travis has been assigned the NPI (National Provider Identifier) Number 1063624039 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Where is the Krista Rose Travis located?
The Krista Rose Travis is located at 1554 Murdock Rd, Lyndonville, NY 140989731.
What is the Krista Rose Travis's specialty and taxonomy code?
The Krista Rose Travis's specialty is Licensed Practical Nurse, and the corresponding taxonomy code is 164W00000X.
On what date did Krista Rose Travis receive its 1063624039 assignment from the Centers for Medicare & Medicaid Services?
The Krista Rose Travis was assigned its 1063624039 on 2007-05-04, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to Krista Rose Travis last refreshed?
The information related to the Krista Rose Travis, including its address, specialty, and other relevant details, was last updated on 2007-07-08.