Deangelis, Travis Anselmo

Deangelis, Travis Anselmo is an individual health care provider with primary practice located at 19590 E Mainstreet Ste 202&204 , Parker CO 80138-7302. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as his primary health care specialty. Deangelis, Travis Anselmo can be contacted via phone (720) 955-6652.

Contact Information

Primary practice address
19590 E Mainstreet Ste 202&204 Parker CO 80138-7302
Phone: (720) 955-6652
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X APN.0999792-NP Colorado
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X RXN.0108854-NP Colorado

Profile Details

NPI number 1598506990
LBN Legal business name Deangelis, Travis Anselmo
Credentials MSN, PMHNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 3rd, 2024
Last updated Jun 13th, 2024 - about 5 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1598506990 NPPES
Colorado Other RXN.0108854-NP COLORADO DEPARTMENT OF REGULATORY AGENCIES

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