Provider Demographics
NPI:1881923795
Name:HAUGEN, APRIL JOY (MSM, LM, CPM)
Entity type:Individual
Prefix:MS
First Name:APRIL
Middle Name:JOY
Last Name:HAUGEN
Suffix:
Gender:F
Credentials:MSM, LM, CPM
Other - Prefix:MS
Other - First Name:APRIL
Other - Middle Name:JOY
Other - Last Name:BONHAM
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MSM, LM, CPM
Mailing Address - Street 1:601 N ANDERSON ST
Mailing Address - Street 2:
Mailing Address - City:ELLENSBURG
Mailing Address - State:WA
Mailing Address - Zip Code:98926-3148
Mailing Address - Country:US
Mailing Address - Phone:360-775-6774
Mailing Address - Fax:360-841-7417
Practice Address - Street 1:601 N ANDERSON ST
Practice Address - Street 2:
Practice Address - City:ELLENSBURG
Practice Address - State:WA
Practice Address - Zip Code:98926-3148
Practice Address - Country:US
Practice Address - Phone:360-775-6774
Practice Address - Fax:360-841-7417
Is Sole Proprietor?:Yes
Enumeration Date:2009-12-24
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
374J00000X
WAMW60388741176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife
No374J00000XNursing Service Related ProvidersDoula
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA2043444Medicaid