Individual provider · Type 1 NPI

Travis Cubbage

Student in an Organized Health Care Education/Training Program · Glen Allen, VA

NPI number 1053256792 Active

Practice location

11271 Nuckols Rd
Glen Allen, VA 23059-5502

Call (540) 271-8978 Map

Mailing address

15419 Evergreen Valley Rd
Timberville, VA 22853-2628

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000X0203021390 (VA)

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1053256792

Travis Cubbage's National Provider Identifier is 1053256792, issued on Apr 20, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Glen Allen, VA. The record was last updated on Apr 20, 2026.