Provider Demographics
NPI:1972852069
Name:DILES, APRIL E (FPMHNP)
Entity Type:Individual
Prefix:
First Name:APRIL
Middle Name:E
Last Name:DILES
Suffix:
Gender:F
Credentials:FPMHNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7550 S STATE STREET
Mailing Address - Street 2:NORTH COUNTRY TRANSITIONAL LIVING SERVICES INC
Mailing Address - City:LOWVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:13367-1533
Mailing Address - Country:US
Mailing Address - Phone:315-376-5450
Mailing Address - Fax:315-376-7221
Practice Address - Street 1:7550 S STATE STREET
Practice Address - Street 2:NORTH COUNTRY TRANSITIONAL LIVING SERVICES INC
Practice Address - City:LOWVILLE
Practice Address - State:NY
Practice Address - Zip Code:13367-1533
Practice Address - Country:US
Practice Address - Phone:315-376-5450
Practice Address - Fax:315-376-7221
Is Sole Proprietor?:No
Enumeration Date:2012-09-05
Last Update Date:2016-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY401513363LP0808X, 363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY03685581Medicaid
NY401513OtherNURSE PRACTITIONER LICENSE NUMBER
NY03685581Medicaid