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:
Health care specialties
Specialty | Code | License # | 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 6 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1598506990 | NPPES |
Colorado | Other | RXN.0108854-NP | COLORADO DEPARTMENT OF REGULATORY AGENCIES |
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