Healthcare Provider Details

I. General information

NPI: 1043189392
Provider Name (Legal Business Name): APRIL ANN YEARGIN RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/04/2025
Last Update Date: 11/04/2025
Certification Date: 11/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2825 CAPITOL AVE
SACRAMENTO CA
95816-6039
US

IV. Provider business mailing address

8109 SHANGRILA DR
FAIR OAKS CA
95628-6028
US

V. Phone/Fax

Practice location:
  • Phone: 916-887-0698
  • Fax:
Mailing address:
  • Phone: 916-402-8038
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WA2000X
TaxonomyAdministrator Registered Nurse
License Number630343
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: