Provider Demographics
NPI:1083290704
Name:FRIEND, APRIL MARIE (LVN)
Entity Type:Individual
Prefix:
First Name:APRIL
Middle Name:MARIE
Last Name:FRIEND
Suffix:
Gender:F
Credentials:LVN
Other - Prefix:
Other - First Name:APRIL
Other - Middle Name:MARIE
Other - Last Name:WIEMERS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:648 WILLIAMS ST
Mailing Address - Street 2:
Mailing Address - City:MURPHYS
Mailing Address - State:CA
Mailing Address - Zip Code:95247-9555
Mailing Address - Country:US
Mailing Address - Phone:209-890-6808
Mailing Address - Fax:
Practice Address - Street 1:820/830 E HWY. 88
Practice Address - Street 2:
Practice Address - City:JACKSON
Practice Address - State:CA
Practice Address - Zip Code:95642
Practice Address - Country:US
Practice Address - Phone:209-257-1501
Practice Address - Fax:209-257-1508
Is Sole Proprietor?:No
Enumeration Date:2021-03-23
Last Update Date:2021-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA708231164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse