Provider Information for 1497354716
The following NPI(s) contain information matching your search criteria. Please select the NPI to view all the data associated with the NPI.
Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know
Ms. APRIL ROSE WENTWORTH
Sex: Female
NPI: 1497354716
Last Updated: 2024-02-28
Certification Date: 2024-02-28
Certification Date: 2024-02-28
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1497354716 | ||||||||
| Enumeration Date | 2020-10-19 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | NO | ||||||||
| Status | Active | ||||||||
| Mailing Address | 160 E VIRGINIA ST STE 100 SAN JOSE, CA 95112-5865 United States Phone: 408-938-2113 | Fax:408-579-6134 | ||||||||
| Primary Practice Address | 160 E VIRGINIA ST STE 100 SAN JOSE, CA 95112-5865 United States Phone: 408-938-2113 | Fax:408-579-6134 | ||||||||
| Secondary Practice Address(es) | |||||||||
| Health Information Exchange |
| ||||||||
| Other Identifiers |
| ||||||||
| Taxonomy |
|