Provider Demographics
NPI:1558799163
Name:WADE, APRIL (FNP-C)
Entity Type:Individual
Prefix:
First Name:APRIL
Middle Name:
Last Name:WADE
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:NIKKI
Other - Middle Name:
Other - Last Name:WADE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:FNP-C
Mailing Address - Street 1:5929 BALCONES DR STE 200
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78731-4280
Mailing Address - Country:US
Mailing Address - Phone:512-550-1800
Mailing Address - Fax:
Practice Address - Street 1:4410 N MIDKIFF RD
Practice Address - Street 2:STE C-7
Practice Address - City:MIDLAND
Practice Address - State:TX
Practice Address - Zip Code:79705-4246
Practice Address - Country:US
Practice Address - Phone:432-279-1960
Practice Address - Fax:512-233-5338
Is Sole Proprietor?:No
Enumeration Date:2013-10-16
Last Update Date:2022-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX674828363LF0000X
TXAP124501363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily