Healthcare Provider Details

I. General information

NPI: 1588845275
Provider Name (Legal Business Name): APRIL MICHELLE ARSENEAU MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/21/2007
Last Update Date: 11/06/2024
Certification Date: 11/06/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12113 E. MAPLE SPRINGS WAY
PALMER AK
99645
US

IV. Provider business mailing address

12113 E. MAPLE SPRINGS WAY
PALMER AK
99645
US

V. Phone/Fax

Practice location:
  • Phone: 907-745-4488
  • Fax: 907-745-4487
Mailing address:
  • Phone: 907-745-4488
  • Fax: 907-745-4487

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number01066711A
License Number StateIN
# 2
Primary TaxonomyY
Taxonomy Code207K00000X
TaxonomyAllergy & Immunology Physician
License Number7841
License Number StateAK
# 3
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number57.013766
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: