Provider Demographics
NPI:1023491966
Name:NIEVES STANBURY, APRIL (LIC AC, MAOM)
Entity type:Individual
Prefix:
First Name:APRIL
Middle Name:
Last Name:NIEVES STANBURY
Suffix:
Gender:F
Credentials:LIC AC, MAOM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18 ELIZABETH AVE
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:NJ
Mailing Address - Zip Code:07882-4400
Mailing Address - Country:US
Mailing Address - Phone:617-435-5378
Mailing Address - Fax:
Practice Address - Street 1:18 ELIZABETH AVE
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:NJ
Practice Address - Zip Code:07882-4400
Practice Address - Country:US
Practice Address - Phone:617-435-5378
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-07-08
Last Update Date:2023-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY006091-1171100000X
MA265140171100000X
NJ25MZ00132200171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist