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1760993109 NPI number — TRAVIS ROBERT KLEIN CNP

NPI Number: 1760993109
Health Care Provider/Practitioner: TRAVIS ROBERT KLEIN CNP

Information about “1760993109” NPI (TRAVIS ROBERT KLEIN CNP) exists in 1760993109 in HTML format HTML  |  1760993109 in plain Text format TXT  |  1760993109 in PDF (Portable Document Format) PDF  |  1760993109 in an XML format XML  formats.

NPI Number : 1760993109 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1760993109",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "KLEIN",
    "FirstName": "TRAVIS",
    "MiddleName": "ROBERT",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "CNP",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "2926 BOOKCLIFF CT",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "GRAND JUNCTION",
    "MailingAddressStateName": "CO",
    "MailingAddressPostalCode": "81504-5348",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "503-313-7857",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "1830 BLAKE AVE",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "GLENWOOD SPRINGS",
    "PracticeLocationAddressStateName": "CO",
    "PracticeLocationAddressPostalCode": "81601-4275",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "970-384-4220",
    "PracticeLocationAddressFaxNumber": "970-384-8128",
    "EnumerationDate": "10/12/2017",
    "LastUpdateDate": "04/25/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "363LG0600X",
        "TaxonomyName": "Gerontology Nurse Practitioner",
        "LicenseNumber": "APN.0994461-NP",
        "LicenseNumberStateCode": "CO",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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