# TRAVIS ANSELMO DEANGELIS

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1598506990
- **Gender:** Man
- **Credential:** MSN, PMHNP-BC

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163W00000X | Registered Nurse | RN.1668737 | CO | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | APN.0999792-NP | CO | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | RXN.0108854-NP | CO | — |

## Other

- **Enumeration date:** 06/03/2024
- **Last updated:** 08/18/2026
