Provider Demographics
NPI:1609678598
Name:WETZ, APRIL DAWN (CNP)
Entity type:Individual
Prefix:MS
First Name:APRIL
Middle Name:DAWN
Last Name:WETZ
Suffix:
Gender:
Credentials:CNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18090 466TH AVE
Mailing Address - Street 2:
Mailing Address - City:CLEAR LAKE
Mailing Address - State:SD
Mailing Address - Zip Code:57226-5307
Mailing Address - Country:US
Mailing Address - Phone:605-499-8625
Mailing Address - Fax:
Practice Address - Street 1:1435 INTERSTATE LOOP
Practice Address - Street 2:
Practice Address - City:BISMARCK
Practice Address - State:ND
Practice Address - Zip Code:58503-0567
Practice Address - Country:US
Practice Address - Phone:701-877-4667
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-24
Last Update Date:2025-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SDCP003583207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine