Healthcare Provider Details

I. General information

NPI: 1467316257
Provider Name (Legal Business Name): APRIL MOORE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/15/2025
Last Update Date: 12/15/2025
Certification Date: 12/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2330 NICHOLS ST
ANCHORAGE AK
99508-3458
US

IV. Provider business mailing address

2330 NICHOLS ST
ANCHORAGE AK
99508-3458
US

V. Phone/Fax

Practice location:
  • Phone: 907-334-8627
  • Fax: 907-274-0636
Mailing address:
  • Phone: 907-334-8627
  • Fax: 907-274-0636

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: