| Doctor Name: | MICHELLE G TRAVER |
| NPI Number: | 1386900017 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PA-C |
| License Number: | 3378 |
| Business Practice Address: | 250 Max Dr Suite 102 Castle Pines, CO - 801089508 |
| Business Phone Number: | 3036493350 |
| Business Fax Number: | 3036493351 |
| Mailing Address: | 250 Max Dr, Suite 102 CASTLE PINES |
| State: | CO |
| Postal Code: | 801089508 |
| Phone Number: | 3036493350 |
| Fax Number: | 3036493351 |
| NPI Enumeration Date: | 04/06/2012 |
| NPI Last Update Date: | 05/14/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AM0700X |
| License Number: | 3378 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CO |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Medical |
| Taxonomy Definition: | |