Provider Demographics
NPI:1629375993
Name:ZUMWALT, APRIL R (ARNP)
Entity Type:Individual
Prefix:
First Name:APRIL
Middle Name:R
Last Name:ZUMWALT
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1120 S UTICA AVE
Mailing Address - Street 2:G100
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74104-4012
Mailing Address - Country:US
Mailing Address - Phone:918-392-0175
Mailing Address - Fax:918-392-0176
Practice Address - Street 1:1120 S UTICA AVE
Practice Address - Street 2:G100
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74104-4012
Practice Address - Country:US
Practice Address - Phone:918-392-0175
Practice Address - Fax:918-392-0176
Is Sole Proprietor?:No
Enumeration Date:2011-02-22
Last Update Date:2016-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK113303363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK200344940AMedicaid