Travlos, Diane M.
Travlos, Diane M. is an individual health care provider with primary practice located at Thomas Jefferson University Hospital 111 S. 11Th Street, Philadelphia PA 19107. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Neonatal, Physician Assistants & Advanced Practice Nursing Providers / Neonatal, Critical Care. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Travlos, Diane M. can be contacted via phone (215) 955-6000.Contact Information
Primary practice address
Thomas Jefferson University Hospital 111 S. 11Th Street
Philadelphia PA 19107
Phone: (215) 955-6000
Fax: (215) 923-9519
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | LM-0000160 | Delaware |
| Physician Assistants & Advanced Practice Nursing Providers / Neonatal | 363LN0000X | VP003505J | Pennsylvania |
| Physician Assistants & Advanced Practice Nursing Providers / Neonatal, Critical Care | 363LN0005X | VP003505J | Pennsylvania |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | VP003505J | Pennsylvania |
Profile Details
| NPI number | 1104901289 |
|---|---|
| LBN Legal business name | Travlos, Diane M. |
| Credentials | Advanced Practice Nurse (APN) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 26th, 2006 |
| Last updated | May 30th, 2018 - about 8 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1104901289 | NPPES |
| New Jersey | MEDICAID | 0021679 | |
| New Jersey | MEDICAID | 4039068 |
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