Provider Demographics
NPI:1164637872
Name:WILSON, APRIL ENGLE (MD)
Entity Type:Individual
Prefix:DR
First Name:APRIL
Middle Name:ENGLE
Last Name:WILSON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:MISS
Other - First Name:APRIL
Other - Middle Name:MELISSA
Other - Last Name:ENGLE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:24785 STEWART ST
Mailing Address - Street 2:EVANS HALL SUITE 204
Mailing Address - City:LOMA LINDA
Mailing Address - State:CA
Mailing Address - Zip Code:92350-1721
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:24785 STEWART ST
Practice Address - Street 2:EVANS HALL SUITE 111
Practice Address - City:LOMA LINDA
Practice Address - State:CA
Practice Address - Zip Code:92350-1721
Practice Address - Country:US
Practice Address - Phone:909-558-8770
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-14
Last Update Date:2015-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA1016492083P0901X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083P0901XAllopathic & Osteopathic PhysiciansPreventive MedicinePublic Health & General Preventive Medicine