MRS. AMY TRAVALINE CRNP NPI 1790453066

NPI Information

  • NPI: 1790453066
  • Provider Name: MRS. AMY TRAVALINE, CRNP
  • Classification: Nurse Practitioner - 363LA2200X
  • Specialization: Adult Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 125 S 9TH ST STE 1005
    PHILADELPHIA, PA
    ZIP 19107
  • Phone: (215) 543-7002

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NPI Details

MRS. Amy Travaline, CRNP is an adult health nurse practitioner in Philadelphia, PA. MRS. Amy Travaline, CRNP NPI is 1790453066. 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:

125 S 9TH ST STE 1005
PHILADELPHIA, PA
ZIP 19107-123
Phone: (215) 543-7002
Fax: (215) 987-5891

The NPI 1790453066 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 9/1/2021 and was last updated on 9/1/2021.

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
1363LA2200XNurse PractitionerAdult HealthSPO23855PENNSYLVANIAYes

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: 11/21/2025

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