Healthcare Provider Details

I. General information

NPI: 1073432837
Provider Name (Legal Business Name): APRIL RENAE ODORFER FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/14/2026
Last Update Date: 07/14/2026
Certification Date: 07/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1951 COMMERCE CENTER CIR STE B
PRESCOTT AZ
86301-7418
US

IV. Provider business mailing address

1042 WILLOW CREEK RD STE A101 PMB 264
PRESCOTT AZ
86301-1672
US

V. Phone/Fax

Practice location:
  • Phone: 928-350-8780
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number342742
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: