National Provider Identifier

Krista Rose Travis, LPN

Krista Rose Travis, LPN is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Lyndonville, NY and a listed phone number of (585) 765-3955.

NPI 1063624039Lyndonville, NYLicensed Practical Nurse

Profile Overview

NPI
1063624039
Provider Type
Individual
Primary Specialty
Licensed Practical Nurse
Enumeration Date
May 04, 2007
Last Updated
July 08, 2007

Practice Location

  • 1554 Murdock RD
  • Lyndonville, NY 14098-9731

Phone: (585) 765-3955

Specialties

  • Licensed Practical Nurse (164W00000X)
Full Record
NPI
1063624039
Entity Type
Individual
Last Name
Travis
First Name
Krista
Middle Name
Rose
Credential
LPN
Mailing Street Address
1554 Murdock RD
Mailing City
Lyndonville
Mailing State
NY
Mailing ZIP Code
14098-9731
Mailing Country
US
Mailing Phone
(585) 765-3955
Practice Street Address
1554 Murdock RD
Practice City
Lyndonville
Practice State
NY
Practice ZIP Code
14098-9731
Practice Country
US
Practice Phone
(585) 765-3955
Enumeration Date
May 04, 2007
Last Updated
July 08, 2007
Sex
Female
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Licensed Practical Nurse (164W00000X)
Other Identifiers
02570285 (NY)