Individual provider · Type 1 NPI
Travis Lee Wacha, FNP-BC, PMHNP-BC
Psychiatric/Mental Health Nurse Practitioner · Palestine, TX
NPI number
1104374297
Active
Practice location
4659 FM 1990
Palestine, TX 75801-1162
Fax (903) 213-9233
Mailing address
4265 FM 1990
Palestine, TX 75801-1102
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | AP131990 (TX) |
| Family Nurse Practitioner | 363LF0000X | AP131990 (TX) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
Another provider at this address
Other psychiatric/mental health nurse practitioner providers in Palestine
About NPI 1104374297
Travis Lee Wacha, FNP-BC, PMHNP-BC's National Provider Identifier is 1104374297, issued on Sep 16, 2016. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Palestine, TX. The record was last updated on Jun 27, 2023.