Travis L Prachar in Venice - Nurse Practitioner
Travis L Prachar - NPI 1265428973
Travis L Prachar is a Nurse Practitioner in Venice, Florida. Travis L Prachar practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Travis L Prachar is 1265428973. The last update date is 2020-09-14.
Travis L Prachar's current location address is 1700 E Venice Ave, Venice, Florida. You can contact this provider via phone number 9414839760. The mailing address for Travis L Prachar is 1700 E Venice Ave, Venice, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Travis L Prachar |
|---|---|
| Address | 1700 E Venice Ave, Venice, Florida |
| Phone Number | 9414839760 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | ARNP |
NPI Number Detail
| NPI Number | 1265428973 |
|---|---|
| Provider Enumeration Date | 2005-09-27 |
| Last Updated Date | 2020-09-14 |
Provider Mailing Address Detail
| Address | 1700 E Venice Ave |
|---|---|
| City | Venice |
| State | Florida (FL) |
| Post Code | 342923190 |
| Phone Number | 9414839760 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Nurse Practitioner |
|---|---|
| Taxonomy | 363L00000X |
| Licence No | A092106 |
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Definition: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certifi |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 25414 | IA | WELLMARK BCBS | |
| 423210 | IA | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Travis L Prachar by the Centers for Medicare & Medicaid Services (CMS)?
The Travis L Prachar has been assigned the NPI (National Provider Identifier) 1265428973. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please share the complete physical address where Travis L Prachar is geographically located?
The Travis L Prachar is physically situated at the following location: 1700 E Venice Ave, Venice, FL, 342923190.
What is Travis L Prachar's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Travis L Prachar is Nurse Practitioner, and the taxonomy classification code that categorizes this area of expertise is 363L00000X.
On what date did the Travis L Prachar receive the assignment of its 1265428973 from the Centers for Medicare & Medicaid Services?
The Travis L Prachar was issued its 1265428973 by the Centers for Medicare & Medicaid Services on 2005-09-27.
As of what date were the Travis L Prachar's details last updated?
The information pertaining to the Travis L Prachar, including its address, specialty, and other details, was most recently updated on 2020-09-14.
NPI Number: 1336142389
Address: Po Box 2004, East Syracuse, NY