Female

Travae Fox CCHW

Community Health Worker in Southfield, MI(View on Map)

Full Name

Travae Fox CCHW

NPI Number

1801521323

NPI Type

Individual Provider

Gender

Female

Enumeration Date

07/19/2022

Specialties

(Taxonomies)

Code

172V00000X

Primary Taxonomy

Yes

Contact
Information

Purpose

Mailing
Location

Address

22170 W 9 MILE RD
22170 W 9 MILE RD

City

Southfield
Southfield

State

MI
MI

Postal Code

48033-6007
48033-6007

Country

US
US

Telephone Number

(248) 251-6409
(248) 251-6409

Identifiers

Identifier

F200802001552

Identifier State

MI

Identifier Issuer

Unknown

Health Information Exchange

Endpoint Type

DIRECT

Endpoint

pcerecords.essmichigan@direct.mihin.net

Endpoint Description

Unknown

Use

Unknown

Content Type

Unknown

Affiliation

Y

Endpoint Location

Easter Seals - Michigan, Inc.22170 W 9 Mile RdSouthfield, MI480336007US

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 08/04/2022

Provider Address

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