Healthcare Provider Details

I. General information

NPI: 1356961106
Provider Name (Legal Business Name): APRIL MYRES APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/22/2020
Last Update Date: 02/22/2021
Certification Date: 02/22/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3150 N TENAYA WAY STE 240
LAS VEGAS NV
89128-0459
US

IV. Provider business mailing address

PO BOX 34707
LAS VEGAS NV
89133-4707
US

V. Phone/Fax

Practice location:
  • Phone: 702-445-7770
  • Fax: 702-445-7772
Mailing address:
  • Phone: 702-445-7770
  • Fax: 702-445-7772

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number830411
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: