Provider Demographics
NPI:1134116437
Name:GOLEY, APRIL LYNNE (FNP)
Entity Type:Individual
Prefix:
First Name:APRIL
Middle Name:LYNNE
Last Name:GOLEY
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:911 OAK GROVE PKWY
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27703-2938
Mailing Address - Country:US
Mailing Address - Phone:919-765-5998
Mailing Address - Fax:
Practice Address - Street 1:1002 DURHAM RD
Practice Address - Street 2:SUITE 800
Practice Address - City:WAKE FOREST
Practice Address - State:NC
Practice Address - Zip Code:27587-9118
Practice Address - Country:US
Practice Address - Phone:919-556-2003
Practice Address - Fax:919-554-9368
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-10-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC201892363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
NCQ27856Medicare UPIN