MEDICARE: APRIL VALERIE NILSSEN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	171M00000X	Case Manager/Care Coordinator

General Provider Information

NPI Number	:	1184955155
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	APRIL VALERIE NILSSEN

Provider Business Mailing Address
First Line	:	PO BOX 1000
Second Line	:
City	:	BAKERSFIELD
State	:	CA
Zip	:	93302-1000
Country	:	US
Telephone Number	:	661-868-6601
Fax Number	:	661-868-6666

Provider Business Practice Location Address
First Line	:	111 COLUMBUS ST
Second Line	:
City	:	BAKERSFIELD
State	:	CA
Zip	:	93305-1704
Country	:	US
Telephone Number	:	661-868-8300
Fax Number	:	661-868-8317

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/14/2010
Last Update Date	:	01/14/2010

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Directions to “ APRIL VALERIE NILSSEN ” Practice Location

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