1851356802 NPI number — DR. APRIL LYNN ESTES MYERS D.O.

Table of content: DR. APRIL LYNN ESTES MYERS D.O. (NPI 1851356802)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1851356802 NPI number — DR. APRIL LYNN ESTES MYERS D.O.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
ESTES MYERS
Provider First Name:
APRIL
Provider Middle Name:
LYNN
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
D.O.
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1851356802
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
08/26/2024
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 24981
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
BELFAST
Provider Business Mailing Address State Name:
ME
Provider Business Mailing Address Postal Code:
04915-2000
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
844-969-0686
Provider Business Mailing Address Fax Number:
773-832-7083

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2440 S IRONWOOD DR STE B
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
APACHE JUNCTION
Provider Business Practice Location Address State Name:
AZ
Provider Business Practice Location Address Postal Code:
85120-7664
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
602-755-0800
Provider Business Practice Location Address Fax Number:
602-560-2721
Provider Enumeration Date:
04/20/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 207Q00000X , with the licence number:  3933 , registered in the state of AZ ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 848666 , issued by the state of ( AZ ) . This identifiers is of the category "MEDICAID".
  • Identifier: AZ0306810 . This is a "BCBSAZ NUMBER" identifier , issued by the state of ( AZ ) . This identifiers is of the category "OTHER".




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