Provider Demographics
NPI:1407596745
Name:SHADE, APRIL DAWNE
Entity Type:Individual
Prefix:
First Name:APRIL
Middle Name:DAWNE
Last Name:SHADE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11450 VERAZAE DR
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89521-3154
Mailing Address - Country:US
Mailing Address - Phone:775-857-5419
Mailing Address - Fax:
Practice Address - Street 1:11450 VERAZAE DR
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89521-3154
Practice Address - Country:US
Practice Address - Phone:775-857-5419
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-04-01
Last Update Date:2022-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide