MEDICARE: APRIL JOANNA PERKINS FNP-C

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	363LF0000X	Family Nurse Practitioner	AP3792	AZ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1710270848
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	APRIL JOANNA PERKINS FNP-C

Provider Business Mailing Address
First Line	:	4729 E SUNRISE DR
Second Line	:	#126
City	:	TUCSON
State	:	AZ
Zip	:	85718-4534
Country	:	US
Telephone Number	:	520-664-8624
Fax Number	:	520-615-7802

Provider Business Practice Location Address
First Line	:	4729 E SUNRISE DR
Second Line	:	#126
City	:	TUCSON
State	:	AZ
Zip	:	85718-4534
Country	:	US
Telephone Number	:	520-664-8624
Fax Number	:	520-615-7802

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

Provider Enumeration Date	:	05/23/2011
Last Update Date	:	05/30/2013

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