Provider Demographics
NPI:1174865067
Name:JAMES GUERRERO, APRIL DAWN (AA)
Entity Type:Individual
Prefix:MS
First Name:APRIL
Middle Name:DAWN
Last Name:JAMES GUERRERO
Suffix:
Gender:F
Credentials:AA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1107B FILMORE AVE
Mailing Address - Street 2:
Mailing Address - City:ALAMOGORDO
Mailing Address - State:NM
Mailing Address - Zip Code:88310-5020
Mailing Address - Country:US
Mailing Address - Phone:575-491-4336
Mailing Address - Fax:
Practice Address - Street 1:1107B FILMORE AVE
Practice Address - Street 2:
Practice Address - City:ALAMOGORDO
Practice Address - State:NM
Practice Address - Zip Code:88310-5020
Practice Address - Country:US
Practice Address - Phone:575-491-4336
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-03-19
Last Update Date:2016-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes373H00000XNursing Service Related ProvidersDay Training/Habilitation Specialist
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician
Provider Identifiers
StateIdentifier IDID TypeIssuer
NM18677037Medicaid