Provider Demographics
NPI:1518988542
Name:WOLANEK, APRIL L (ARNP)
Entity Type:Individual
Prefix:MS
First Name:APRIL
Middle Name:L
Last Name:WOLANEK
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:MS
Other - First Name:APRIL
Other - Middle Name:L
Other - Last Name:REEVES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:ARNP
Mailing Address - Street 1:PO BOX 5127
Mailing Address - Street 2:
Mailing Address - City:EVERETT
Mailing Address - State:WA
Mailing Address - Zip Code:98206-5127
Mailing Address - Country:US
Mailing Address - Phone:360-454-1900
Mailing Address - Fax:
Practice Address - Street 1:875 WESLEY ST STE 250
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:WA
Practice Address - Zip Code:98223-1668
Practice Address - Country:US
Practice Address - Phone:360-435-2233
Practice Address - Fax:360-435-3966
Is Sole Proprietor?:No
Enumeration Date:2006-07-23
Last Update Date:2024-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAP30005995363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA1035137Medicaid
WA9633413Medicaid
WA1012407Medicaid
WA1035137Medicaid
WA1012407Medicaid
WAG8955190Medicare PIN
WAG8954471Medicare PIN
WA8855664Medicare PIN