Provider Demographics
NPI:1043923402
Name:ANCHETA, APRIL VIOLET AQUINO (NP)
Entity Type:Individual
Prefix:
First Name:APRIL VIOLET
Middle Name:AQUINO
Last Name:ANCHETA
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2005 SAN JOSE DR UNIT 260
Mailing Address - Street 2:
Mailing Address - City:ANTIOCH
Mailing Address - State:CA
Mailing Address - Zip Code:94509-8607
Mailing Address - Country:US
Mailing Address - Phone:612-251-6636
Mailing Address - Fax:
Practice Address - Street 1:2005 SAN JOSE DR UNIT 260
Practice Address - Street 2:
Practice Address - City:ANTIOCH
Practice Address - State:CA
Practice Address - Zip Code:94509-8607
Practice Address - Country:US
Practice Address - Phone:612-251-6636
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-01-02
Last Update Date:2023-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA653499163W00000X, 363LP2300X
CA95023689363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary CareGroup - Single Specialty
No163W00000XNursing Service ProvidersRegistered Nurse
No363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health