NPI 1033937149
Ellis Travers, CCHW
Practice location
- Address
- 1348 Bainbridge St, Philadelphia, PA 19147-1810
- Phone
- (215) 563-0658
- Fax
- (877) 316-4122
Registered specialties
Community Health Worker
Primary
Registry record
- NPI
- 1033937149
- Entity type
- Individual
- Sex (as registered)
- X
- NPI issued
- 27 Sep 2024
- Record last updated
- 27 Sep 2024
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.