Provider Demographics
NPI:1326176330
Name:STEMPIEN-OTERO, APRIL (MD)
Entity Type:Individual
Prefix:
First Name:APRIL
Middle Name:
Last Name:STEMPIEN-OTERO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:APRIL
Other - Middle Name:C
Other - Last Name:STEMPIEN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:2003 KOOTENAI HEALTH WAY
Mailing Address - Street 2:
Mailing Address - City:COEUR D ALENE
Mailing Address - State:ID
Mailing Address - Zip Code:83814-6051
Mailing Address - Country:US
Mailing Address - Phone:208-625-5530
Mailing Address - Fax:208-625-5531
Practice Address - Street 1:1300 E MULLAN AVE STE 900
Practice Address - Street 2:
Practice Address - City:POST FALLS
Practice Address - State:ID
Practice Address - Zip Code:83854-6054
Practice Address - Country:US
Practice Address - Phone:208-625-5530
Practice Address - Fax:208-625-5531
Is Sole Proprietor?:No
Enumeration Date:2007-03-01
Last Update Date:2024-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IDM-16929207RC0000X
WAMD00031926207RA0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RA0001XAllopathic & Osteopathic PhysiciansInternal MedicineAdvanced Heart Failure and Transplant Cardiology
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA0231990OtherL&I
WA1326176330Medicaid
WAF74222Medicare UPIN
WAAB00554Medicare PIN