NPI 1083139117

Jesse Travis

Practitioner Certified Registered Nurse Anesthetist Greeley, CO

Practice location

Address: 1801 16th St, Greeley, CO 80631-5154
Phone: (970) 810-4819
Fax: (970) 810-4015
Mailing address: 4102 Carroway Seed Dr, Johnstown, CO 80534-8257

Registered specialties

Certified Registered Nurse Anesthetist Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367500000X Licence RN.1619552 (CO)

Other Nurse Anesthetist, Certified Registered providers in Colorado →

Registry record

NPI: 1083139117
Entity type: Individual
Sex (as registered): Male
NPI issued: 9 Aug 2017
Record last updated: 9 Aug 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.