Healthcare Provider Details

I. General information

NPI: 1982209300
Provider Name (Legal Business Name): APRIL MARIE KAUTZMAN MSN, CNM, WHNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/02/2020
Last Update Date: 06/14/2023
Certification Date: 06/14/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1000 E ROSSER AVE
BISMARCK ND
58501-4414
US

IV. Provider business mailing address

1000 E ROSSER AVE
BISMARCK ND
58501-4414
US

V. Phone/Fax

Practice location:
  • Phone: 701-712-4500
  • Fax:
Mailing address:
  • Phone: 701-712-4500
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License NumberR37996
License Number StateND
# 2
Primary TaxonomyY
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License NumberR37996
License Number StateND

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: