Healthcare Provider Details

I. General information

NPI: 1942882816
Provider Name (Legal Business Name): APRIL LEE BOLTON R.D.N.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: APRIL VAN HORN, ROBLES

II. Dates (important events)

Enumeration Date: 04/21/2021
Last Update Date: 10/04/2023
Certification Date: 09/30/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

650 E INDIAN SCHOOL RD
PHOENIX AZ
85012-1839
US

IV. Provider business mailing address

1918 E INCA CIR
MESA AZ
85203-2810
US

V. Phone/Fax

Practice location:
  • Phone: 602-277-5551
  • Fax:
Mailing address:
  • Phone: 480-643-9769
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License Number
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: