Provider Demographics
NPI:1649743683
Name:WYMA, APRIL NICHOLE (APRN)
Entity Type:Individual
Prefix:MS
First Name:APRIL
Middle Name:NICHOLE
Last Name:WYMA
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:MS
Other - First Name:APRIL
Other - Middle Name:NICHOLE
Other - Last Name:MCFARLIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:8405 E BASELINE RD STE 104
Mailing Address - Street 2:
Mailing Address - City:MESA
Mailing Address - State:AZ
Mailing Address - Zip Code:85209-4376
Mailing Address - Country:US
Mailing Address - Phone:480-674-3295
Mailing Address - Fax:725-239-7974
Practice Address - Street 1:8405 E BASELINE RD STE 104
Practice Address - Street 2:
Practice Address - City:MESA
Practice Address - State:AZ
Practice Address - Zip Code:85209-4376
Practice Address - Country:US
Practice Address - Phone:480-674-3295
Practice Address - Fax:725-239-7974
Is Sole Proprietor?:No
Enumeration Date:2019-01-02
Last Update Date:2022-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ220542363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ220542OtherARIZONA STATE BOARD OF NURSING