Provider Demographics
NPI:1508565649
Name:POLITE, APRIL
Entity Type:Individual
Prefix:
First Name:APRIL
Middle Name:
Last Name:POLITE
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 1:115 PARK PLACE BLVD
Mailing Address - Street 2:
Mailing Address - City:WAXAHACHIE
Mailing Address - State:TX
Mailing Address - Zip Code:75165-9108
Mailing Address - Country:US
Mailing Address - Phone:469-466-6524
Mailing Address - Fax:
Practice Address - Street 1:115 PARK PLACE BLVD
Practice Address - Street 2:
Practice Address - City:WAXAHACHIE
Practice Address - State:TX
Practice Address - Zip Code:75165-9108
Practice Address - Country:US
Practice Address - Phone:469-466-6524
Practice Address - Fax:866-816-0795
Is Sole Proprietor?:Yes
Enumeration Date:2023-02-27
Last Update Date:2023-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1098827363L00000X, 363LA2200X, 363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health