Provider Demographics
NPI:1073706354
Name:FOX, TRAVIS (RNFA)
Entity Type:Individual
Prefix:
First Name:TRAVIS
Middle Name:
Last Name:FOX
Suffix:
Gender:M
Credentials:RNFA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1887
Mailing Address - Street 2:CENTRAL WASHINGTON HOSPITAL
Mailing Address - City:WENATCHEE
Mailing Address - State:WA
Mailing Address - Zip Code:98807-1887
Mailing Address - Country:US
Mailing Address - Phone:509-662-1511
Mailing Address - Fax:509-665-6081
Practice Address - Street 1:1201 S MILLER ST
Practice Address - Street 2:CENTRAL WASHINGTON HOSPITAL
Practice Address - City:WENATCHEE
Practice Address - State:WA
Practice Address - Zip Code:98801-3201
Practice Address - Country:US
Practice Address - Phone:206-439-2988
Practice Address - Fax:206-431-3939
Is Sole Proprietor?:No
Enumeration Date:2007-08-21
Last Update Date:2011-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WARN000137946163WR0006X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WR0006XNursing Service ProvidersRegistered NurseRegistered Nurse First Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA0281108OtherL&I