Provider Demographics
NPI:1760993109
Name:KLEIN, TRAVIS ROBERT (CNP)
Entity type:Individual
Prefix:
First Name:TRAVIS
Middle Name:ROBERT
Last Name:KLEIN
Suffix:
Gender:
Credentials:CNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2926 BOOKCLIFF CT
Mailing Address - Street 2:
Mailing Address - City:GRAND JUNCTION
Mailing Address - State:CO
Mailing Address - Zip Code:81504-5348
Mailing Address - Country:US
Mailing Address - Phone:503-313-7857
Mailing Address - Fax:
Practice Address - Street 1:1830 BLAKE AVE
Practice Address - Street 2:
Practice Address - City:GLENWOOD SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:81601-4275
Practice Address - Country:US
Practice Address - Phone:970-384-4220
Practice Address - Fax:970-384-8128
Is Sole Proprietor?:Yes
Enumeration Date:2017-10-12
Last Update Date:2025-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COAPN.0994461-NP363LG0600X, 363LG0600X
OHAPRN.CNP.022386363LG0600X
KY3011798363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology