Perez Travis, Ellen

Perez Travis, Ellen is an individual health care provider with primary practice located at 751 S Bascom Ave , San Jose CA 95128-2604. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Perez Travis, Ellen can be contacted via phone (408) 885-6780.

Contact Information

Primary practice address
751 S Bascom Ave San Jose CA 95128-2604
Phone: (408) 885-6780
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 418417-9309 California

Profile Details

NPI number 1396743217
LBN Legal business name Perez Travis, Ellen
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 13th, 2005
Last updated Mar 7th, 2023 - about 3 years ago

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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