Provider Demographics
NPI:1134375124
Name:SHERA, APRIL ANITA (MD)
Entity type:Individual
Prefix:DR
First Name:APRIL
Middle Name:ANITA
Last Name:SHERA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:APRIL
Other - Middle Name:A
Other - Last Name:CAMP
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:1700 W PARADISE DR
Mailing Address - Street 2:OTOLARYNGOLOGY
Mailing Address - City:WEST BEND
Mailing Address - State:WI
Mailing Address - Zip Code:53095-9795
Mailing Address - Country:US
Mailing Address - Phone:262-334-3451
Mailing Address - Fax:262-306-2964
Practice Address - Street 1:1700 W PARADISE DR
Practice Address - Street 2:OTOLARYNGOLOGY
Practice Address - City:WEST BEND
Practice Address - State:WI
Practice Address - Zip Code:53095-9795
Practice Address - Country:US
Practice Address - Phone:262-334-3451
Practice Address - Fax:262-306-2964
Is Sole Proprietor?:No
Enumeration Date:2008-08-11
Last Update Date:2017-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI54419207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI1134375124Medicaid
WI54419OtherSTATE