Healthcare Provider Details
I. General information
NPI: 1962535062
Provider Name (Legal Business Name): TRAVEL SMART, INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 03/14/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2217 PRINCESS ANNE ST STE 105-6
FREDERICKSBURG VA
22401-3382
US
IV. Provider business mailing address
2217 PRINCESS ANNE ST STE 105-6
FREDERICKSBURG VA
22401-3382
US
V. Phone/Fax
- Phone: 540-361-4788
- Fax: 540-361-4790
- Phone: 540-361-4788
- Fax: 540-361-4790
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 163W00000X |
| Taxonomy | Registered Nurse |
| License Number | 0001113422 |
| License Number State | VA |
VIII. Authorized Official
Name: MRS.
JEANETTE
ROSEMARY
CURRENCE
Title or Position: EXECUTIVE DIRECTOR, FRANCHISE OWNER
Credential: RN, BSN, MPH
Phone: 540-361-4788