Healthcare Provider Details

I. General information

NPI: 1447164710
Provider Name (Legal Business Name): APRYL MICHELLE AVILA
Entity Type: Individual
Gender:
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/01/2026
Last Update Date: 10/01/2026
Certification Date: 10/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

42951 59TH ST W
LANCASTER CA
93536-5617
US

IV. Provider business mailing address

42951 59TH ST W
LANCASTER CA
93536-5617
US

V. Phone/Fax

Practice location:
  • Phone: 805-443-9777
  • Fax:
Mailing address:
  • Phone: 805-443-9777
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code172V00000X
TaxonomyCommunity Health Worker
License NumberCHW0000000916
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: