Provider Demographics
NPI: | 1881787422 |
---|---|
Name: | MORRIS, APRIL LYNN (NNP) |
Entity type: | Individual |
Prefix: | |
First Name: | APRIL |
Middle Name: | LYNN |
Last Name: | MORRIS |
Suffix: | |
Gender: | F |
Credentials: | NNP |
Other - Prefix: | |
Other - First Name: | APRIL |
Other - Middle Name: | LYNN |
Other - Last Name: | ROLANDO |
Other - Suffix: | |
Other - Last Name Type: | Former Name |
Other - Credentials: | NNP |
Mailing Address - Street 1: | 909 N BROADWAY |
Mailing Address - Street 2: | PBO |
Mailing Address - City: | EVERETT |
Mailing Address - State: | WA |
Mailing Address - Zip Code: | 98201-1409 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 425-317-0699 |
Mailing Address - Fax: | 425-317-0291 |
Practice Address - Street 1: | 900 PACIFIC AVE |
Practice Address - Street 2: | 2ND FLOOR |
Practice Address - City: | EVERETT |
Practice Address - State: | WA |
Practice Address - Zip Code: | 98201-4168 |
Practice Address - Country: | US |
Practice Address - Phone: | 425-304-6040 |
Practice Address - Fax: | 425-304-6045 |
Is Sole Proprietor?: | No |
Enumeration Date: | 2006-10-02 |
Last Update Date: | 2009-02-03 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Licenses
State | License ID | Taxonomies |
---|---|---|
WA | AP30006680 | 363LN0000X |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization |
---|---|---|---|---|
Yes | 363LN0000X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Neonatal |
Provider Identifiers
State | Identifier ID | ID Type | Issuer |
---|---|---|---|
WA | 9640962 | Medicaid | |
WA | 8802326 | Medicare ID - Type Unspecified | |
WA | G8877563 | Medicare PIN | |
WA | Q11300 | Medicare UPIN |