Provider Demographics
NPI:1770378515
Name:SECIWA, APRIL LYNN
Entity type:Individual
Prefix:
First Name:APRIL
Middle Name:LYNN
Last Name:SECIWA
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1728
Mailing Address - Street 2:
Mailing Address - City:GALLUP
Mailing Address - State:NM
Mailing Address - Zip Code:87305-1728
Mailing Address - Country:US
Mailing Address - Phone:505-481-0792
Mailing Address - Fax:
Practice Address - Street 1:PO BOX 1728
Practice Address - Street 2:
Practice Address - City:GALLUP
Practice Address - State:NM
Practice Address - Zip Code:87305-1728
Practice Address - Country:US
Practice Address - Phone:505-481-0792
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-11
Last Update Date:2025-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172V00000XOther Service ProvidersCommunity Health Worker