Provider Demographics
NPI:1255336269
Name:TOLBERT, APRIL I (FNP-C)
Entity type:Individual
Prefix:MRS
First Name:APRIL
Middle Name:I
Last Name:TOLBERT
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5940 DECATUR BLVD
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46241-9579
Mailing Address - Country:US
Mailing Address - Phone:317-856-2945
Mailing Address - Fax:252-399-0747
Practice Address - Street 1:5940 DECATUR BLVD
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46241-9579
Practice Address - Country:US
Practice Address - Phone:317-856-2945
Practice Address - Fax:317-856-5122
Is Sole Proprietor?:No
Enumeration Date:2005-06-16
Last Update Date:2023-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC201316173000000X
IN71013097A363LP0808X, 363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No173000000XOther Service ProvidersLegal Medicine
No363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC500013579OtherRAILROAD MEDICARE
NCP09275Medicare UPIN