Provider Demographics
NPI:1386047074
Name:PENA, APRIL DENISE (PA-C)
Entity type:Individual
Prefix:MRS
First Name:APRIL
Middle Name:DENISE
Last Name:PENA
Suffix:
Gender:F
Credentials:PA-C
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Mailing Address - Street 1:BROOKE ARMY MEDICAL CENTER/ USAISR BURN CENTER
Mailing Address - Street 2:3551 ROGER BROOKE DR.
Mailing Address - City:FT SAM HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:78234
Mailing Address - Country:US
Mailing Address - Phone:210-539-9582
Mailing Address - Fax:
Practice Address - Street 1:BROOKE ARMY MEDICAL CENTER/ USAISR BURN CENTER
Practice Address - Street 2:3551 ROGER BROOKE DR.
Practice Address - City:FT SAM HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:78234
Practice Address - Country:US
Practice Address - Phone:210-539-9582
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-10-08
Last Update Date:2022-04-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXPA09322363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant