Provider Demographics
NPI:1003547100
Name:MATZENBACHER, APRIL JOANN (P-MHNP-BC)
Entity Type:Individual
Prefix:MRS
First Name:APRIL
Middle Name:JOANN
Last Name:MATZENBACHER
Suffix:
Gender:F
Credentials:P-MHNP-BC
Other - Prefix:
Other - First Name:APRIL
Other - Middle Name:JOANN
Other - Last Name:JONES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2023 E. SIMS WAY
Mailing Address - Street 2:PMB 116
Mailing Address - City:PORT TOWNSEND
Mailing Address - State:WA
Mailing Address - Zip Code:98368-6905
Mailing Address - Country:US
Mailing Address - Phone:360-889-9331
Mailing Address - Fax:831-855-6137
Practice Address - Street 1:161 ANN KIVLEY DR
Practice Address - Street 2:
Practice Address - City:PORT HADLOCK
Practice Address - State:WA
Practice Address - Zip Code:98339-9436
Practice Address - Country:US
Practice Address - Phone:720-937-4416
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-06-20
Last Update Date:2023-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAP61320750363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health