Healthcare Provider Details

I. General information

NPI: 1285165621
Provider Name (Legal Business Name): APRIL M. EVANS MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: APRIL M SHIPP

II. Dates (important events)

Enumeration Date: 03/27/2017
Last Update Date: 08/05/2025
Certification Date: 08/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 E IDAHO ST
BOISE ID
83712-6267
US

IV. Provider business mailing address

190 E BANNOCK ST
BOISE ID
83712-6241
US

V. Phone/Fax

Practice location:
  • Phone: 208-381-2782
  • Fax: 208-381-3172
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2080P0207X
TaxonomyPediatric Hematology & Oncology Physician
License Number74356
License Number StateMN
# 2
Primary TaxonomyN
Taxonomy Code2080P0207X
TaxonomyPediatric Hematology & Oncology Physician
License Number202002859
License Number StateNC
# 3
Primary TaxonomyN
Taxonomy Code2080P0207X
TaxonomyPediatric Hematology & Oncology Physician
License Number19878
License Number StateND
# 4
Primary TaxonomyY
Taxonomy Code2080P0207X
TaxonomyPediatric Hematology & Oncology Physician
License Number4071860
License Number StateID

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: