Provider Demographics
NPI:1891434999
Name:THOMAS, APRIL TEJSHINA (ADMINISTRATOR)
Entity Type:Individual
Prefix:MS
First Name:APRIL
Middle Name:TEJSHINA
Last Name:THOMAS
Suffix:
Gender:F
Credentials:ADMINISTRATOR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2769 BRADBURY WAY
Mailing Address - Street 2:
Mailing Address - City:FAIRFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:94534-1042
Mailing Address - Country:US
Mailing Address - Phone:707-712-1526
Mailing Address - Fax:707-419-4856
Practice Address - Street 1:2769 BRADBURY WAY
Practice Address - Street 2:
Practice Address - City:FAIRFIELD
Practice Address - State:CA
Practice Address - Zip Code:94534-1042
Practice Address - Country:US
Practice Address - Phone:707-712-1526
Practice Address - Fax:707-419-4856
Is Sole Proprietor?:Yes
Enumeration Date:2022-05-27
Last Update Date:2023-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA6039189740376G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376G00000XNursing Service Related ProvidersNursing Home Administrator