Provider Demographics
NPI:1700920980
Name:YEARWOOD, APRIL (CRNA)
Entity Type:Individual
Prefix:
First Name:APRIL
Middle Name:
Last Name:YEARWOOD
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3798 HIGHWAY 188
Mailing Address - Street 2:
Mailing Address - City:ALAMO
Mailing Address - State:TN
Mailing Address - Zip Code:38001-5925
Mailing Address - Country:US
Mailing Address - Phone:731-267-8415
Mailing Address - Fax:
Practice Address - Street 1:3798 HIGHWAY 188
Practice Address - Street 2:
Practice Address - City:ALAMO
Practice Address - State:TN
Practice Address - Zip Code:38001-5925
Practice Address - Country:US
Practice Address - Phone:731-267-8415
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-19
Last Update Date:2011-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN10174367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3632613Medicare ID - Type Unspecified