Provider Demographics
NPI:1225529795
Name:MEDEIROS, APRIL MARIE (RN, CDE)
Entity Type:Individual
Prefix:
First Name:APRIL
Middle Name:MARIE
Last Name:MEDEIROS
Suffix:
Gender:F
Credentials:RN, CDE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25 GARDENS DR
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01119-2533
Mailing Address - Country:US
Mailing Address - Phone:413-374-1944
Mailing Address - Fax:
Practice Address - Street 1:8 ISABELLA ST
Practice Address - Street 2:
Practice Address - City:HOLYOKE
Practice Address - State:MA
Practice Address - Zip Code:01040-2229
Practice Address - Country:US
Practice Address - Phone:413-534-2820
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-05-21
Last Update Date:2018-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MARN283319163W00000X
MA21600700163WD0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WD0400XNursing Service ProvidersRegistered NurseDiabetes EducatorGroup - Single Specialty
No163W00000XNursing Service ProvidersRegistered Nurse