Provider Demographics
NPI:1982853776
Name:WARREN, APRIL ELIZABETH (NP-C)
Entity Type:Individual
Prefix:MRS
First Name:APRIL
Middle Name:ELIZABETH
Last Name:WARREN
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:
Other - First Name:APRIL
Other - Middle Name:ELIZABETH
Other - Last Name:WILSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1628 DAKOTA DR SW
Mailing Address - Street 2:
Mailing Address - City:MINOT
Mailing Address - State:ND
Mailing Address - Zip Code:58701-7094
Mailing Address - Country:US
Mailing Address - Phone:701-838-1558
Mailing Address - Fax:
Practice Address - Street 1:315 MAIN ST S STE 301
Practice Address - Street 2:
Practice Address - City:MINOT
Practice Address - State:ND
Practice Address - Zip Code:58701-3956
Practice Address - Country:US
Practice Address - Phone:701-838-1558
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-09-16
Last Update Date:2014-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NDR30556363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
ND19982Medicaid
ND19982Medicaid