Basic Information
Provider Information
NPI: 1689950453
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: GAPP
FirstName: APRIL
MiddleName: M
NamePrefix:  
NameSuffix:  
Credential: ARNP-FNP-C
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 802 KENYON RD
Address2: 513
City: FORT DODGE
State: IA
PostalCode: 505015740
CountryCode: US
TelephoneNumber: 5155746890
FaxNumber:  
Practice Location
Address1: 800 KENYON RD
Address2: SUITE S
City: FORT DODGE
State: IA
PostalCode: 505015776
CountryCode: US
TelephoneNumber: 5155746800
FaxNumber: 5155737234
Other Information
ProviderEnumerationDate: 10/25/2011
LastUpdateDate: 12/22/2016
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363LF0000X116257IAY Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily

No ID Information.


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