MEDICARE: KATRINA C TRAVIS RN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163W00000X	Registered Nurse	95307772	CA

General Provider Information

NPI Number	:	1104659762
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KATRINA C TRAVIS RN

Provider Business Mailing Address
First Line	:	7401 GRISTMILL CIR
Second Line	:
City	:	MC CALLA
State	:	AL
Zip	:	35111-3062
Country	:	US
Telephone Number	:	205-224-7506
Fax Number	:

Provider Business Practice Location Address
First Line	:	7401 GRISTMILL CIR
Second Line	:
City	:	MC CALLA
State	:	AL
Zip	:	35111-3062
Country	:	US
Telephone Number	:	205-224-7506
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/20/2024
Last Update Date	:	08/20/2024

Similar Medicare Providers

1942896543 — ELEVATE WELLNESS, LLC
Practice Location Address:

2105 W J ST
MC COOK, NE
69001-3062

Practice Phone: 308-777-2476
Practice Fax:

1013848118 — AMELIA SAYER
Practice Location Address:

2105 W J ST
MC COOK, NE
69001-3062

Practice Phone: 308-777-2476
Practice Fax:

1811986656 — C & G HEALTHCARE SERVICES, INC.
Practice Location Address:

6450 OLD TUSCALOOSA HWY
MC CALLA, AL
35111-3606

Practice Phone: 205-477-6161
Practice Fax: 205-477-5566

1982672952 — RASA K MILLER MD
Practice Location Address:

22720 BUCKSVILLE RD
MC CALLA, AL
35111-2711

Practice Phone: 205-481-8640
Practice Fax: 205-477-6214

1831204023 — BRUNO'S SUPERMARKETS, LLC.
Practice Location Address:

4750 EASTERN VALLEY RD
MC CALLA, AL
35111-3406

Practice Phone: 205-477-4427
Practice Fax: 205-477-3397

1568564052 — DR. ANDREA MICHELLE SHIREY M.D.
Practice Location Address:

22720 BUCKSVILLE RD
MC CALLA, AL
35111-2711

Practice Phone: 205-481-8640
Practice Fax:

Directions to “ KATRINA C TRAVIS RN” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.