Healthcare Provider Details

I. General information

NPI: 1215295845
Provider Name (Legal Business Name): TRAVISIA MINOR
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/02/2012
Last Update Date: 05/02/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1120 N TOWN CENTER DR STE 120
LAS VEGAS NV
89144-6302
US

IV. Provider business mailing address

523 REDRUTH DR
LAS VEGAS NV
89178-1285
US

V. Phone/Fax

Practice location:
  • Phone: 702-743-9263
  • Fax:
Mailing address:
  • Phone: 702-743-9263
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code227800000X
TaxonomyCertified Respiratory Therapist
License NumberRC799
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: