Provider Demographics
NPI:1629178819
Name:TYNAN, APRIL ANNETTE (VOC REHAB SPECIALIST)
Entity Type:Individual
Prefix:MRS
First Name:APRIL
Middle Name:ANNETTE
Last Name:TYNAN
Suffix:
Gender:F
Credentials:VOC REHAB SPECIALIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3001 C ST
Mailing Address - Street 2:
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99503-3913
Mailing Address - Country:US
Mailing Address - Phone:907-273-4008
Mailing Address - Fax:907-273-4049
Practice Address - Street 1:3001 C ST
Practice Address - Street 2:
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99503-3913
Practice Address - Country:US
Practice Address - Phone:907-273-4008
Practice Address - Fax:907-273-4049
Is Sole Proprietor?:No
Enumeration Date:2006-09-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor