Provider Demographics
NPI:1053839753
Name:TERRY, APRIL IRENE SHURTLEFF (FNP)
Entity Type:Individual
Prefix:MRS
First Name:APRIL
Middle Name:IRENE SHURTLEFF
Last Name:TERRY
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:MS
Other - First Name:APRIL
Other - Middle Name:IRENE
Other - Last Name:SHURTLEFF
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:9602 ONEIDA ST
Mailing Address - Street 2:
Mailing Address - City:VENTURA
Mailing Address - State:CA
Mailing Address - Zip Code:93004-2708
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2953 TELEGRAPH RD
Practice Address - Street 2:
Practice Address - City:VENTURA
Practice Address - State:CA
Practice Address - Zip Code:93003-3214
Practice Address - Country:US
Practice Address - Phone:805-652-5252
Practice Address - Fax:833-916-2147
Is Sole Proprietor?:No
Enumeration Date:2017-09-01
Last Update Date:2021-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95007216363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily