TRAVIS ANTHONY VAN EDE
NPI 1831624089
Student in an Organized Health Care Education/Training Program in La Crosse, WI

Q: What is the provider's specialty?

The provider's specialty is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Active since April 25, 2017

1836 SOUTH AVE, LA CROSSE, WI 54601(608) 782-7300 Get Directions Write a Review

NPPES record last updated: April 25, 2017. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Travis Anthony Van Ede NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TRAVIS ANTHONY VAN EDE (NPI 1831624089) is an individual student in an organized health care education/training program in La Crosse, Wisconsin and active in the NPI registry since April 2017.

NPPES Registry Identity

NPI1831624089

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameTRAVIS ANTHONY VAN EDE

Location Address1836 SOUTH AVELa Crosse, WI 54601-5429

Mailing Address1836 South AveLa Crosse, WI 54601-5429 · (608) 782-7300

Phone(608) 782-7300

Sole ProprietorNo

Enumeration DateApril 25, 2017

✔ NPI 1831624089 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

1836 SOUTH AVE, La Crosse, WI 54601

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