Provider Demographics
NPI:1861656761
Name:ELLIS, APRIL ELIZABETH (MA)
Entity Type:Individual
Prefix:
First Name:APRIL
Middle Name:ELIZABETH
Last Name:ELLIS
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4731 TROUSDALE DR STE 14
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37220-1338
Mailing Address - Country:US
Mailing Address - Phone:615-331-1141
Mailing Address - Fax:615-331-1142
Practice Address - Street 1:4731 TROUSDALE DR STE 14
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37220-1338
Practice Address - Country:US
Practice Address - Phone:615-331-1141
Practice Address - Fax:615-331-1142
Is Sole Proprietor?:No
Enumeration Date:2008-07-10
Last Update Date:2008-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist