Provider Demographics
NPI:1316212566
Name:PHILLIPS, APRIL CHRISTINA (DNP, FNP-C, PMHNP-BC)
Entity Type:Individual
Prefix:
First Name:APRIL
Middle Name:CHRISTINA
Last Name:PHILLIPS
Suffix:
Gender:F
Credentials:DNP, FNP-C, PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:65 IRON KING
Mailing Address - Street 2:
Mailing Address - City:DURANGO
Mailing Address - State:CO
Mailing Address - Zip Code:81301-9416
Mailing Address - Country:US
Mailing Address - Phone:505-577-8993
Mailing Address - Fax:
Practice Address - Street 1:1309 E 3RD AVE STE B-5
Practice Address - Street 2:
Practice Address - City:DURANGO
Practice Address - State:CO
Practice Address - Zip Code:81301-5255
Practice Address - Country:US
Practice Address - Phone:970-527-1660
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-03-20
Last Update Date:2022-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COAPN.0995407-NP363LF0000X, 363LP0808X
NMCNP-01912363LF0000X, 363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
NMCS00217369OtherCONTROLLED SUBSTANCE LICENSURE