| Mrs Crystal Marie Travis, | |
|
901 Washington St, Portsmouth, OH 45662-3944 | |
| (740) 354-1010 | |
| Not Available |
| Full Name | Mrs Crystal Marie Travis |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Psychiatric/mental Health |
| Location | 901 Washington St, Portsmouth, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003255266 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | COA.14867-NP (Ohio) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | APRN.CNP.14867 (Ohio) | Primary |
| Entity Name | Shawnee Mental Health Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1336173236 PECOS PAC ID: 7012902075 Enrollment ID: O20040419000643 |
| Entity Name | Community Action Committee Of Pike County |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1578974929 PECOS PAC ID: 3173432762 Enrollment ID: O20141022000689 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Crystal Marie Travis, 901 Washington St, Portsmouth, OH 45662-3944 Ph: (740) 354-7702 | Mrs Crystal Marie Travis, 901 Washington St, Portsmouth, OH 45662-3944 Ph: (740) 354-1010 |
Kevin Wolfe, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2001 Scioto Trl, Ste 200, Portsmouth, OH 45662 Phone: 740-353-8100 Fax: 740-353-8908 | |
Elizabeth L Mathis, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1611 27th St Ste F301, Portsmouth, OH 45662 Phone: 740-356-7546 Fax: 740-356-8077 | |
Lynsey Arey, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1711 27th St, Braunlin Building Suite 306, Portsmouth, OH 45662 Phone: 740-353-8661 Fax: 740-354-3254 | |
Michael L Purdy, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1248 Kinneys Ln, Portsmouth, OH 45662 Phone: 740-356-7290 Fax: 740-356-7972 | |
Mrs. Stephanie Joan Lang, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 901 Washington St, Portsmouth, OH 45662 Phone: 740-354-7702 Fax: 740-353-1662 | |
Mr. Joseph David Augustin, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1248 Kinneys Ln, Portsmouth, OH 45662 Phone: 740-356-7290 Fax: 740-356-7938 |