Healthcare Provider Details

I. General information

NPI: 1831363423
Provider Name (Legal Business Name): APRIL JEAN FITZPATRICK CRNA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/15/2008
Last Update Date: 10/07/2020
Certification Date: 10/07/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

700 GARDEN VIEW CT STE 102
ENCINITAS CA
92024-2478
US

IV. Provider business mailing address

PO BOX 33865
SAN DIEGO CA
92163-3865
US

V. Phone/Fax

Practice location:
  • Phone: 760-783-0441
  • Fax: 760-635-5972
Mailing address:
  • Phone: 858-888-7700
  • Fax: 858-221-5036

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number4182
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number153819
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: