| Doctor Name: | ALICIA CATHERINE TRAVIS |
| NPI Number: | 1225307689 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | CRNP |
| License Number: | SP011401 |
| Business Practice Address: | 250 King Of Prussia Rd Suite 2j Radnor, PA - 190875220 |
| Business Phone Number: | 6109022450 |
| Business Fax Number: | |
| Mailing Address: | 250 King Of Prussia Rd, RADNOR |
| State: | PA |
| Postal Code: | 190875235 |
| Phone Number: | 6109022450 |
| Fax Number: | |
| NPI Enumeration Date: | 12/14/2011 |
| NPI Last Update Date: | 04/03/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | SP011401 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |