Provider Demographics
NPI:1336444108
Name:ELDRIDGE, APRIL MICHELE
Entity Type:Individual
Prefix:
First Name:APRIL
Middle Name:MICHELE
Last Name:ELDRIDGE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:APRIL
Other - Middle Name:MICHELE
Other - Last Name:ELDRIDGE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:RN
Mailing Address - Street 1:14201 WOODMONT AVE
Mailing Address - Street 2:DETROIT
Mailing Address - City:DETROIT
Mailing Address - State:MI
Mailing Address - Zip Code:48227-1325
Mailing Address - Country:US
Mailing Address - Phone:248-330-1298
Mailing Address - Fax:
Practice Address - Street 1:14201 WOODMONT AVE
Practice Address - Street 2:DETROIT
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48227-1325
Practice Address - Country:US
Practice Address - Phone:248-330-1298
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-01-25
Last Update Date:2011-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4704271599163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse