Healthcare Provider Details

I. General information

NPI: 1104278365
Provider Name (Legal Business Name): APRIL COMING HAY MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/11/2016
Last Update Date: 11/12/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15650 CEDAR AVE
APPLE VALLEY MN
55124-7283
US

IV. Provider business mailing address

1201 11TH AVE SW
MINOT ND
58701-4207
US

V. Phone/Fax

Practice location:
  • Phone: 952-997-4100
  • Fax:
Mailing address:
  • Phone: 701-858-6778
  • Fax: 701-858-6811

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberRL14183
License Number StateND
# 2
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number66254
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: