Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0202X | Pediatric Cardiologist | 2019-00919 | NC |
N | 2080P0202X | Pediatric Cardiologist | A118349 | CA |
NPI | 1114152469 |
---|---|
Provider Name | Frances Chen Travelli |
First Address | Charlotte, NC 28260-0447 |
Second Address | Charlotte, NC 28204-3282 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/05/2009 |
Last Update Date | 26/10/2020 |