Individual
APRIL FAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
3691 FAIR OAKS BLVD, SACRAMENTO, CA 95864-7203
(626) 232-0688
Mailing address
PO BOX 660726, SACRAMENTO, CA 95866-0726
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
19550
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
19550
STATE OF CALIFORNIA
CA
Enumeration date
02/24/2011
Last updated
12/30/2021
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