Provider Demographics
NPI:1073770749
Name:MERRILL, APRIL MARIE (APRN, CCNS)
Entity Type:Individual
Prefix:
First Name:APRIL
Middle Name:MARIE
Last Name:MERRILL
Suffix:
Gender:F
Credentials:APRN, CCNS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5300 N INDEPENDENCE AVE
Mailing Address - Street 2:SUITE 280
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73112-5556
Mailing Address - Country:US
Mailing Address - Phone:405-951-2141
Mailing Address - Fax:405-636-7247
Practice Address - Street 1:4221 S WESTERN AVE STE 3030
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73109-3492
Practice Address - Country:US
Practice Address - Phone:405-951-2141
Practice Address - Fax:405-636-7247
Is Sole Proprietor?:No
Enumeration Date:2008-05-20
Last Update Date:2020-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK65043364S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364S00000XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse Specialist