Provider Demographics
NPI:1376078428
Name:SULLIVAN, APRIL LYNN (APRN, FNP-C)
Entity Type:Individual
Prefix:
First Name:APRIL
Middle Name:LYNN
Last Name:SULLIVAN
Suffix:
Gender:F
Credentials:APRN, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11152 PERGOLA POINT CT
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89144-1625
Mailing Address - Country:US
Mailing Address - Phone:702-524-9279
Mailing Address - Fax:
Practice Address - Street 1:2150 S RAINBOW BLVD
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89146-2982
Practice Address - Country:US
Practice Address - Phone:702-838-4644
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-04-26
Last Update Date:2017-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVAPRN002494363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner