Individual
TRAVIS BIRCHEM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
12911 W 40TH AVENUE, WHEAT RIDGE, CO 80401
(303) 425-4500
Mailing address
DEPT. 42655, P.O. BOX 650823, DALLAS, TX 75265
(330) 321-6552
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
101578
OK
163W00000X
Registered Nurse
117147
IA
163W00000X
Registered Nurse
14107434031
KS
367500000X
Certified Registered Nurse Anesthetist
557082
KS
367500000X
Certified Registered Nurse Anesthetist
Primary
APN.00991714-CRNA
CO
Other
Enumeration date
04/30/2012
Last updated
02/26/2025
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