Travis, Liisa Marie
Travis, Liisa Marie is an sole proprietor health care provider with primary practice located at 12490 Business Center Dr Ste 100 , Victorville CA 92395-5833. She recently has 4 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Allopathic & Osteopathic Physicians / Neurological Surgery, Nursing Service Providers / Registered Nurse, Allopathic & Osteopathic Physicians / Trauma Surgery. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Travis, Liisa Marie can be contacted via phone (760) 552-8585.Contact Information
Primary practice address
12490 Business Center Dr Ste 100
Victorville CA 92395-5833
Phone: (760) 552-8585
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 95019345 | California |
Allopathic & Osteopathic Physicians / Neurological Surgery | 207T00000X | 494033 | California |
Nursing Service Providers / Registered Nurse | 163W00000X | 494033 | California |
Allopathic & Osteopathic Physicians / Trauma Surgery | 2086S0127X | 494033 | California |
Profile Details
NPI number | 1780346072 |
---|---|
LBN Legal business name | Travis, Liisa Marie |
Credentials | Nurse Practitioner (NP) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Oct 13th, 2021 |
Last updated | Sep 10th, 2023 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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