Provider Demographics
NPI:1285138107
Name:GOESCHEL, APRIL LEIGH
Entity type:Individual
Prefix:
First Name:APRIL
Middle Name:LEIGH
Last Name:GOESCHEL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:799 HUMBACK ST.
Mailing Address - Street 2:
Mailing Address - City:ST. IGNACE
Mailing Address - State:MI
Mailing Address - Zip Code:49787
Mailing Address - Country:US
Mailing Address - Phone:069-203-8660
Mailing Address - Fax:
Practice Address - Street 1:799 HUMBACK ST.
Practice Address - Street 2:
Practice Address - City:ST. IGNACE
Practice Address - State:MI
Practice Address - Zip Code:49787
Practice Address - Country:US
Practice Address - Phone:616-301-8000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-03-23
Last Update Date:2020-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4704203155163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse