Provider Demographics
NPI:1811371255
Name:VILLMER, APRIL SUE
Entity type:Individual
Prefix:
First Name:APRIL
Middle Name:SUE
Last Name:VILLMER
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 1:331 W 33RD AVE APT 23
Mailing Address - Street 2:
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99503-4770
Mailing Address - Country:US
Mailing Address - Phone:907-202-2136
Mailing Address - Fax:
Practice Address - Street 1:4209 NORTHWOOD DR APT 3
Practice Address - Street 2:
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99517-3081
Practice Address - Country:US
Practice Address - Phone:907-202-2136
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-07-15
Last Update Date:2019-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AKNURP7187164W00000X
AK145484163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
No164W00000XNursing Service ProvidersLicensed Practical Nurse