Provider Demographics
NPI:1568561553
Name:WARD, APRIL L (NP)
Entity Type:Individual
Prefix:
First Name:APRIL
Middle Name:L
Last Name:WARD
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20855 ADELINE DR
Mailing Address - Street 2:
Mailing Address - City:COLFAX
Mailing Address - State:CA
Mailing Address - Zip Code:95713-9748
Mailing Address - Country:US
Mailing Address - Phone:916-390-4841
Mailing Address - Fax:
Practice Address - Street 1:685 TWELVE BRIDGES DR
Practice Address - Street 2:#B
Practice Address - City:LINCOLN
Practice Address - State:CA
Practice Address - Zip Code:95648-8689
Practice Address - Country:US
Practice Address - Phone:916-408-5915
Practice Address - Fax:916-408-5411
Is Sole Proprietor?:No
Enumeration Date:2006-09-22
Last Update Date:2016-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CANP13700363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
CARN524287Medicaid
P71143Medicare UPIN
ZZZ24512ZMedicare ID - Type Unspecified