Provider Demographics
NPI:1871390542
Name:TRAVERS, AUDRA BENEE (RH)
Entity type:Individual
Prefix:
First Name:AUDRA
Middle Name:BENEE
Last Name:TRAVERS
Suffix:
Gender:
Credentials:RH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3605 COURTLEIGH DR
Mailing Address - Street 2:
Mailing Address - City:RANDALLSTOWN
Mailing Address - State:MD
Mailing Address - Zip Code:21133-4806
Mailing Address - Country:US
Mailing Address - Phone:443-788-4885
Mailing Address - Fax:
Practice Address - Street 1:3605 COURTLEIGH DR
Practice Address - Street 2:
Practice Address - City:RANDALLSTOWN
Practice Address - State:MD
Practice Address - Zip Code:21133-4806
Practice Address - Country:US
Practice Address - Phone:443-788-4885
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-28
Last Update Date:2025-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171400000XOther Service ProvidersHealth & Wellness Coach
No175L00000XOther Service ProvidersHomeopath
No175F00000XOther Service ProvidersNaturopath
No253Z00000XAgenciesIn Home Supportive Care