Provider Demographics
NPI:1033986872
Name:GUNTER, APRIL LOUISE
Entity Type:Individual
Prefix:
First Name:APRIL
Middle Name:LOUISE
Last Name:GUNTER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:APRIL
Other - Middle Name:LOUISE
Other - Last Name:YEAGER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:611 W CHEROKEE ST STE D
Mailing Address - Street 2:
Mailing Address - City:WAGONER
Mailing Address - State:OK
Mailing Address - Zip Code:74467-4618
Mailing Address - Country:US
Mailing Address - Phone:918-201-4147
Mailing Address - Fax:918-201-4148
Practice Address - Street 1:611 W CHEROKEE ST STE D
Practice Address - Street 2:
Practice Address - City:WAGONER
Practice Address - State:OK
Practice Address - Zip Code:74467-4618
Practice Address - Country:US
Practice Address - Phone:918-201-4147
Practice Address - Fax:918-201-4148
Is Sole Proprietor?:Yes
Enumeration Date:2023-12-11
Last Update Date:2023-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center