Travis, Pamela W

Travis, Pamela W is an individual health care provider with primary practice located at 13 Industrial Park Rd , Saco ME 04072-1804. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Adult Health is her primary health care specialty. Travis, Pamela W can be contacted via phone (207) 283-8800.

Contact Information

Primary practice address
13 Industrial Park Rd Saco ME 04072-1804
Phone: (207) 283-8800
Fax: (207) 286-9853
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X CNP81008 Maine
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X R037386 Maine
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X CNP81008 Maine

Profile Details

NPI number 1376659102
LBN Legal business name Travis, Pamela W
Credentials Adult Nurse Practitioner (ANP)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 22nd, 2006
Last updated Apr 1st, 2019 - about 7 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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Identifiers

StateTypeNumberIssuer
All States NPI 1376659102 NPPES
Maine MEDICAID 1376659102

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