Provider Demographics
NPI:1497790158
Name:APRIL L NALLE
Entity Type:Organization
Organization Name:APRIL L NALLE
Other - Org Name:BELLAS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/OPERATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:APRIL
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:NALLE
Authorized Official - Suffix:
Authorized Official - Credentials:CFM
Authorized Official - Phone:606-678-0033
Mailing Address - Street 1:PO BOX 3668
Mailing Address - Street 2:
Mailing Address - City:WEST SOMERSET
Mailing Address - State:KY
Mailing Address - Zip Code:42564
Mailing Address - Country:US
Mailing Address - Phone:606-678-0033
Mailing Address - Fax:606-678-0056
Practice Address - Street 1:705 CORRELL STREET
Practice Address - Street 2:
Practice Address - City:SOMERSET
Practice Address - State:KY
Practice Address - Zip Code:42503
Practice Address - Country:US
Practice Address - Phone:606-678-0033
Practice Address - Fax:606-678-0056
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-18
Last Update Date:2011-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY90011792Medicaid
KY000000374383OtherANTHEM
KY000000374383OtherANTHEM