Provider Demographics
NPI:1033442520
Name:MCLEVAIN, APRIL L (NP)
Entity Type:Individual
Prefix:
First Name:APRIL
Middle Name:L
Last Name:MCLEVAIN
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4380 STATE ROUTE 359
Mailing Address - Street 2:
Mailing Address - City:WAVERLY
Mailing Address - State:KY
Mailing Address - Zip Code:42462
Mailing Address - Country:US
Mailing Address - Phone:270-389-6758
Mailing Address - Fax:270-389-6769
Practice Address - Street 1:4380 STATE ROUTE 359
Practice Address - Street 2:
Practice Address - City:WAVERLY
Practice Address - State:KY
Practice Address - Zip Code:42462
Practice Address - Country:US
Practice Address - Phone:270-389-6758
Practice Address - Fax:270-389-6769
Is Sole Proprietor?:No
Enumeration Date:2009-09-15
Last Update Date:2016-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN71003037A363LF0000X
KY3006719363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
INPENDINGMedicaid
PENDINGOtherANTHEM BC/BS
PENDINGOtherANTHEM BC/BS