Provider Demographics
NPI:1497582456
Name:FARRIS, APRIL (AGPCNP)
Entity type:Individual
Prefix:
First Name:APRIL
Middle Name:
Last Name:FARRIS
Suffix:
Gender:F
Credentials:AGPCNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:900 N BLUE MOUND RD STE 144
Mailing Address - Street 2:
Mailing Address - City:SAGINAW
Mailing Address - State:TX
Mailing Address - Zip Code:76131-8827
Mailing Address - Country:US
Mailing Address - Phone:951-515-6401
Mailing Address - Fax:
Practice Address - Street 1:900 N BLUE MOUND RD STE 144
Practice Address - Street 2:
Practice Address - City:SAGINAW
Practice Address - State:TX
Practice Address - Zip Code:76131-8827
Practice Address - Country:US
Practice Address - Phone:951-515-6401
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-09-16
Last Update Date:2024-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1175053363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology