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NPI Code Detail

MEDICARE: TRAVIS WALKER FNP-BC

MEDICARE:   TRAVIS  WALKER  FNP-BC
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
1363LF0000XFamily Nurse Practitioner341969NY

General Provider Information

NPI Number : 1750806204
Entity Type Code : Individual
Provider Name (Legal Business Name) : TRAVIS WALKER FNP-BC
Provider Business Mailing Address
First Line : 16121 JAMAICA AVE FL 7
Second Line :
City : JAMAICA
State : NY
Zip : 11432-6113
Country : US
Telephone Number : 929-421-4630
Fax Number :
Provider Business Practice Location Address
First Line : 16121 JAMAICA AVE FL 7
Second Line :
City : JAMAICA
State : NY
Zip : 11432-6113
Country : US
Telephone Number : 929-421-4630
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/06/2017
Last Update Date : 04/01/2021

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Directions to “ TRAVIS WALKER FNP-BC” Practice Location

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