Provider Demographics
NPI:1518619709
Name:WEDGWORTH, APRIL ILONA (RN)
Entity type:Individual
Prefix:MRS
First Name:APRIL
Middle Name:ILONA
Last Name:WEDGWORTH
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:28712 CHAPMAN RD
Mailing Address - Street 2:
Mailing Address - City:SCAPPOOSE
Mailing Address - State:OR
Mailing Address - Zip Code:97056-2009
Mailing Address - Country:US
Mailing Address - Phone:503-543-8300
Mailing Address - Fax:
Practice Address - Street 1:28712 CHAPMAN RD
Practice Address - Street 2:
Practice Address - City:SCAPPOOSE
Practice Address - State:OR
Practice Address - Zip Code:97056-2009
Practice Address - Country:US
Practice Address - Phone:503-543-8300
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-01-19
Last Update Date:2022-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR087003257RN163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse