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Contact Information

TRAVIS J HARGREAVES
3701 12TH ST N STE 202
SAINT CLOUD, MN56303
 Phone: 320-251-2700
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Anesthetist, Certified Registered

367500000X 43 Certified Registered Nurse Anesthetist (CRNA)
 

Registered Nurse

163W00000X
Indicates primary specialty

NPI Profile & details for TRAVIS J HARGREAVES · (Male)

NPI Number 1750897534
Status Active
Credentials
Entity Individual
Enumeration date 12/16/2017
Last updated 08/23/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • MN License # 120518
  • NE License # 71435
Hospital affiliation(s)
  • FAIRVIEW NORTHLAND REGIONAL HOSPITAL - (Acute Care)
    911 NORTHLAND DR
    PRINCETON, MN 55371
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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