Provider Demographics
NPI:1508917675
Name:NELSON-EHLERS, APRIL N (SURGICAL ASSISTANT)
Entity Type:Individual
Prefix:
First Name:APRIL
Middle Name:N
Last Name:NELSON-EHLERS
Suffix:
Gender:F
Credentials:SURGICAL ASSISTANT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1802 SAN GABRIEL DR
Mailing Address - Street 2:
Mailing Address - City:HUGHSON
Mailing Address - State:CA
Mailing Address - Zip Code:95326
Mailing Address - Country:US
Mailing Address - Phone:209-883-0434
Mailing Address - Fax:
Practice Address - Street 1:1316 COFFEE RD STE E14
Practice Address - Street 2:DR ROLAND YOUNG
Practice Address - City:MODESTO
Practice Address - State:CA
Practice Address - Zip Code:95355
Practice Address - Country:US
Practice Address - Phone:209-522-9963
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes126800000XDental ProvidersDental Assistant