NPI 1548528706

Travis C Blackhurst, CRNA

Practitioner Certified Registered Nurse Anesthetist Glendive, MT

Practice location

Address: 202 Prospect Dr, Glendive, MT 59330-1999
Phone: (406) 345-3306
Mailing address: 1115 SE 164th Ave Dept 358, Vancouver, WA 98683-8004

Registered specialties (4)

Certified Registered Nurse Anesthetist Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367500000X Licence 159520 (MT)

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Certified Registered Nurse Anesthetist

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367500000X Licence 201402871CRNA (OR)

Certified Registered Nurse Anesthetist

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367500000X Licence SRA100081 (CO)

Certified Registered Nurse Anesthetist

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367500000X Licence R51894 (ND)

Registry record

NPI: 1548528706
Entity type: Individual
Sex (as registered): Male
NPI issued: 25 Apr 2012
Record last updated: 23 Sep 2025

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.