Provider Demographics
NPI:1821503988
Name:RENTZSCH, APRIL ANN
Entity Type:Individual
Prefix:
First Name:APRIL
Middle Name:ANN
Last Name:RENTZSCH
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1300
Mailing Address - Street 2:
Mailing Address - City:LOS LUNAS
Mailing Address - State:NM
Mailing Address - Zip Code:87031-1300
Mailing Address - Country:US
Mailing Address - Phone:505-865-9652
Mailing Address - Fax:
Practice Address - Street 1:112 MEADOW LAKE RD
Practice Address - Street 2:
Practice Address - City:LOS LUNAS
Practice Address - State:NM
Practice Address - Zip Code:87031-9449
Practice Address - Country:US
Practice Address - Phone:505-865-9652
Practice Address - Fax:505-865-7364
Is Sole Proprietor?:No
Enumeration Date:2017-12-11
Last Update Date:2017-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMRN-81896163W00000X, 163WS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WS0200XNursing Service ProvidersRegistered NurseSchool
No163W00000XNursing Service ProvidersRegistered Nurse