Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Angel Travis

Individual provider Licensed Practical Nurse · NPI 1700694981

Angel Travis is a Licensed Practical Nurse in Modena, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2024

Practice location Address checks out

1990 State Route 32 # 12548
Modena, NY 12548-5013
Phone: (845) 430-1495
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Licensed Practical Nurse (primary) Taxonomy 164W00000X · Licence 348509 (NY)

Record details

NPI number1700694981
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedDecember 20, 2024
Last updated in NPPESDecember 20, 2024
Certification dateDecember 20, 2024

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