Individual provider · Type 1 NPI
Travis Roger Lee, STUDENT
Nurse Practitioner · Logan, UT
Practice location
1350 N 500 E
Logan, UT 84341-2400
Mailing address
PO Box 27128
Salt Lake City, UT 84127-0128
Other practice locations
- 3927 W 4200 N, Benson, UT 84335-9769 · (435) 720-7556
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 11898403-4405 (UT) |
| Acute Care Nurse Practitioner | 363LA2100X | 11898403-4405 (UT) |
Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…
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About NPI 1194698944
Travis Roger Lee, STUDENT's National Provider Identifier is 1194698944, issued on Sep 27, 2025. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Logan, UT. The record was last updated on Aug 17, 2026.