Provider Demographics
NPI:1225487150
Name:ROSTVET, APRIL DAWN (PA-C)
Entity Type:Individual
Prefix:
First Name:APRIL
Middle Name:DAWN
Last Name:ROSTVET
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:APRIL
Other - Middle Name:DAWN
Other - Last Name:NIEDERKLEIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PA-C
Mailing Address - Street 1:2222 W 5TH ST
Mailing Address - Street 2:
Mailing Address - City:HASTINGS
Mailing Address - State:NE
Mailing Address - Zip Code:68901-4707
Mailing Address - Country:US
Mailing Address - Phone:402-984-7263
Mailing Address - Fax:
Practice Address - Street 1:2115 N KANSAS AVE
Practice Address - Street 2:SUITE 103
Practice Address - City:HASTINGS
Practice Address - State:NE
Practice Address - Zip Code:68901-2640
Practice Address - Country:US
Practice Address - Phone:402-463-6828
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-06-10
Last Update Date:2016-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE2022363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant