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

Tanjenique R Travis

Individual provider Licensed Practical Nurse · NPI 1104631480

Tanjenique R Travis is a Licensed Practical Nurse in Cleveland, Ohio. Practices as a sole proprietor. Licensed in Ohio.

Licensed in
OH
In the registry since
2025

Practice location Address checks out

4609 E 173rd St
Cleveland, OH 44128-3903
Phone: (216) 533-4811
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 191727 (OH)

Record details

NPI number1104631480
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedFebruary 12, 2025
Last updated in NPPESFebruary 18, 2025
Certification dateFebruary 18, 2025
Mailing address4609 E 173rd St, Cleveland, OH 44128-3903

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