Provider Demographics
NPI:1033510656
Name:DITTMAN, APRIL
Entity Type:Individual
Prefix:
First Name:APRIL
Middle Name:
Last Name:DITTMAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2451 FOOTHILL BLVD STE 103
Mailing Address - Street 2:
Mailing Address - City:ROCK SPRINGS
Mailing Address - State:WY
Mailing Address - Zip Code:82901-5696
Mailing Address - Country:US
Mailing Address - Phone:307-371-9909
Mailing Address - Fax:
Practice Address - Street 1:2451 FOOTHILL BLVD STE 103
Practice Address - Street 2:
Practice Address - City:ROCK SPRINGS
Practice Address - State:WY
Practice Address - Zip Code:82901-5696
Practice Address - Country:US
Practice Address - Phone:307-371-9909
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-09-15
Last Update Date:2017-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator