DANIELLE TRAVISE

BRIDGEPORT, WV
NPI1619306420
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: WV  01778)
Additional Taxonomies363A00000X Physician Assistant
(Licence: NC  0010-04351)
Enumeration Date2013-11-02
Last Update Date2023-03-07
Business Address
Mrs. DANIELLE TRAVISE PA-C
227 MEDICAL PARK DR STE101
BRIDGEPORT, WV 26330-9038
Phone number: 681-342-3490
Mailing Address
Mrs. DANIELLE TRAVISE PA-C
227 MEDICAL PARK DR STE101
BRIDGEPORT, WV 26330-9038
Phone number: 681-342-3490