Provider Demographics
NPI:1104379395
Name:STURGILL, APRIL
Entity Type:Individual
Prefix:
First Name:APRIL
Middle Name:
Last Name:STURGILL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:APRIL
Other - Middle Name:
Other - Last Name:WHITE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1017 W GREEN ST
Mailing Address - Street 2:
Mailing Address - City:MASCOUTAH
Mailing Address - State:IL
Mailing Address - Zip Code:62258-1032
Mailing Address - Country:US
Mailing Address - Phone:618-670-3837
Mailing Address - Fax:618-448-0392
Practice Address - Street 1:1017 W GREEN ST
Practice Address - Street 2:
Practice Address - City:MASCOUTAH
Practice Address - State:IL
Practice Address - Zip Code:62258-1032
Practice Address - Country:US
Practice Address - Phone:618-670-3837
Practice Address - Fax:618-448-0392
Is Sole Proprietor?:Yes
Enumeration Date:2016-07-25
Last Update Date:2016-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes222Q00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersDevelopmental Therapist