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TRAVIS RANDALL MCPIKE NP-C

>> Registered Nurse >> Nursing Service Providers

Registrant NPI Number: 1356814982

Individual Registrant:
 TRAVIS RANDALL MCPIKE NP-C
Gender: M
Not Sole Proprietor

Location and contact information for practice:
1152 E US HIGHWAY 36  BAINBRIDGE, IN 46105-9604 US
Tel: 765-522-1889  Fax: 765-522-3583

Contact information for business:
1100 SOUTHFIELD DR STE 1370  PLAINFIELD, IN 46168-4300 US
Tel: 317-837-5570  Fax: 317-837-5580

Registration Information:
NPI: 1356814982
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y163W00000XNursing Service Providers
Registered Nurse
IN28213528A

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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