Provider Demographics
NPI:1750717823
Name:TRAVIS, BRITNEY ERIN (RN)
Entity type:Individual
Prefix:
First Name:BRITNEY
Middle Name:ERIN
Last Name:TRAVIS
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:735 ELLIFFE RD
Mailing Address - Street 2:
Mailing Address - City:NEWPORT NEWS
Mailing Address - State:VA
Mailing Address - Zip Code:23601-4623
Mailing Address - Country:US
Mailing Address - Phone:757-846-5153
Mailing Address - Fax:
Practice Address - Street 1:735 ELLIFFE RD
Practice Address - Street 2:
Practice Address - City:NEWPORT NEWS
Practice Address - State:VA
Practice Address - Zip Code:23601-4623
Practice Address - Country:US
Practice Address - Phone:757-846-5153
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-09-22
Last Update Date:2013-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0001220571163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse