Provider Demographics
NPI:1508079872
Name:YOUNG, APRIL L (NURSE PRACTIONER)
Entity Type:Individual
Prefix:
First Name:APRIL
Middle Name:L
Last Name:YOUNG
Suffix:
Gender:F
Credentials:NURSE PRACTIONER
Other - Prefix:
Other - First Name:APRIL
Other - Middle Name:L
Other - Last Name:GIESECKE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:NURSE PRACTIONER
Mailing Address - Street 1:2925 PROFESSIONAL PL
Mailing Address - Street 2:SUITE 103
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80904-8126
Mailing Address - Country:US
Mailing Address - Phone:719-593-1234
Mailing Address - Fax:719-578-0999
Practice Address - Street 1:2925 PROFESSIONAL PL
Practice Address - Street 2:SUITE 103
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80904-8126
Practice Address - Country:US
Practice Address - Phone:719-593-1234
Practice Address - Fax:719-578-0999
Is Sole Proprietor?:No
Enumeration Date:2007-05-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO4015363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner