ELLEN PEREZ TRAVIS NP NPI 1396743217

NPI Information

NPI: 1396743217
Provider Name: ELLEN PEREZ TRAVIS, NP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Address:
751 S BASCOM AVE
SAN JOSE, CA
ZIP 95128
Phone: (408) 885-6780
Get Directions

Ellen Perez Travis, NP is a family nurse practitioner in San Jose, CA. Ellen Perez Travis, NP NPI is 1396743217. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

751 S BASCOM AVE
SAN JOSE, CA
ZIP 95128-604
Phone: (408) 885-6780

The enumeration date for this NPI number is 7/13/2005 and was last updated on 3/7/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	418417-9309	CALIFORNIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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