Individual provider · Type 1 NPI

Susan Marie Travis, CPNP

Pediatric Nurse Practitioner · Croton On Hudson, NY

NPI number 1104823863 Active

Practice location

35 S Riverside Ave, The Westchester Medical Practice Pc
Croton On Hudson, NY 10520-2653

Fax (914) 271-2172

Mailing address

50 Dayton Lane, Suite 202, The Westchester Medical Practice Pc
Peekskill, NY 10566

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner Primary 363LP0200XF381651-1 (NY)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1104823863

Susan Marie Travis, CPNP's National Provider Identifier is 1104823863, issued on Jul 7, 2005. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Croton On Hudson, NY. The record was last updated on Aug 1, 2013.