Provider Demographics
NPI:1043535099
Name:POWERS, APRIL NICOLE
Entity Type:Individual
Prefix:
First Name:APRIL
Middle Name:NICOLE
Last Name:POWERS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8279 HONEY TREE CV
Mailing Address - Street 2:
Mailing Address - City:GERMANTOWN
Mailing Address - State:TN
Mailing Address - Zip Code:38138-7202
Mailing Address - Country:US
Mailing Address - Phone:901-331-3159
Mailing Address - Fax:
Practice Address - Street 1:716 W BUCKINGHAM PL APT 1
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60657-0435
Practice Address - Country:US
Practice Address - Phone:901-331-3159
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-04-01
Last Update Date:2010-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program