Healthcare Provider Details

I. General information

NPI: 1336054352
Provider Name (Legal Business Name): APRIL KATHLEEN BAILEY NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: APRIL KATHLEEN RUSSANO NP

II. Dates (important events)

Enumeration Date: 08/14/2026
Last Update Date: 08/14/2026
Certification Date: 08/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8831 VILLA LA JOLLA DR
LA JOLLA CA
92037-1949
US

IV. Provider business mailing address

8588 VILLA LA JOLLA DR APT 350
LA JOLLA CA
92037-8321
US

V. Phone/Fax

Practice location:
  • Phone: 858-457-4480
  • Fax:
Mailing address:
  • Phone: 858-353-8893
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number95041062
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: