=====================================================
General NPI Number Information
=====================================================
NPI Number | 1356961106
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | APRIL MYRES APRN
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 04/22/2020
-----------------------------------------------------
Last Update Date | 02/22/2021
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 3150 N TENAYA WAY STE 240
-----------------------------------------------------
City | LAS VEGAS
-----------------------------------------------------
State | NV
-----------------------------------------------------
Zip | 89128-0459
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 702-445-7770
-----------------------------------------------------
Fax | 702-445-7772
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | PO BOX 34707
-----------------------------------------------------
City | LAS VEGAS
-----------------------------------------------------
State | NV
-----------------------------------------------------
Zip | 89133-4707
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 702-445-7770
-----------------------------------------------------
Fax | 702-445-7772
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 363LF0000X
-----------------------------------------------------
Taxonomy Name | Family Nurse Practitioner
-----------------------------------------------------
License Number | 830411
-----------------------------------------------------
License Number State | NV
-----------------------------------------------------