MEDICARE: MRS. APRIL CHRISTINE KING CRNA

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	163W00000X	Registered Nurse	436910	CA
2	367500000X	Certified Registered Nurse Anesthetist	2595	CA

General Provider Information

NPI Number	:	1780653832
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. APRIL CHRISTINE KING CRNA

Provider Business Mailing Address
First Line	:	PO BOX 33865
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92163-3865
Country	:	US
Telephone Number	:	858-888-7700
Fax Number	:	858-221-5024

Provider Business Practice Location Address
First Line	:	700 GARDEN VIEW CT STE 102
Second Line	:
City	:	ENCINITAS
State	:	CA
Zip	:	92024-2478
Country	:	US
Telephone Number	:	760-783-0441
Fax Number	:	858-221-5036

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

Provider Enumeration Date	:	03/14/2006
Last Update Date	:	12/01/2021

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