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

Liisa Marie Travis, NP

Individual provider Nurse Practitioner · NPI 1780346072

Liisa Marie Travis, NP is a Nurse Practitioner in Victorville, California. Qualified in 2021, 5 years ago. Practices with Premier Orthopaedic Trauma Specialists Pmc, a 36-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California.

Years since qualifying
5
Licensed in
CA
In the registry since
2021
Specialties on file
4
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

12490 Business Center Dr Ste 100
Victorville, CA 92395-5833
Phone: (760) 552-8585
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 500 W Hospital Rd, French Camp, CA 95231-9693 — (209) 468-6000

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 95019345 (CA)
Neurological Surgery Physician Taxonomy 207T00000X · Licence 494033 (CA)
Registered Nurse Taxonomy 163W00000X · Licence 494033 (CA)
Trauma Surgery Physician Taxonomy 2086S0127X · Licence 494033 (CA)

Record details

NPI number1780346072
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorYes
NPI enumeratedOctober 13, 2021
Last updated in NPPESSeptember 10, 2023
Certification dateSeptember 10, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Premier Orthopaedic Trauma Specialists Pmc — 36 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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