Individual provider · Type 1 NPI

Travis C. Konzelman, AGNP

Nurse Practitioner · Augusta, GA

NPI number 1407247158 Active

Practice location

1350 Walton Way
Augusta, GA 30901

Mailing address

2490 Riverside Dr, Ste B
Macon, GA 31204-1787

Specialties and licenses

TaxonomyCodeLicense
Gerontology Nurse Practitioner 363LG0600XRN199709 (GA)
Nurse Practitioner Primary 363L00000XRN199709 (GA)
Primary Care Nurse Practitioner 363LP2300XRN199709 (GA)
Acute Care Clinical Nurse Specialist 364SA2100XRN199709 (GA)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1407247158

Travis C. Konzelman, AGNP's National Provider Identifier is 1407247158, issued on Feb 16, 2015. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Augusta, GA. The record was last updated on Aug 28, 2018.