1043088438 NPI number — MRS. APRIL WALDEN CONNELLY PNP

Table of content: MRS. APRIL WALDEN CONNELLY PNP (NPI 1043088438)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1043088438 NPI number — MRS. APRIL WALDEN CONNELLY PNP

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
CONNELLY
Provider First Name:
APRIL
Provider Middle Name:
WALDEN
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
PNP
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
WALDEN
Provider Other First Name:
APRIL
Provider Other Middle Name:
Provider Other Name Prefix Text:
MS.
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1043088438
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
12/14/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
4300 JOSEY LANE
Provider Second Line Business Mailing Address:
SUITE#110
Provider Business Mailing Address City Name:
CARROLLTON
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
75010
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
214-483-3292
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
4300 JOSEY LANE
Provider Second Line Business Practice Location Address:
SUITE#110
Provider Business Practice Location Address City Name:
CARROLLTON
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
75010
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
214-483-3292
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
12/14/2023

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 208000000X , with the licence number:  1144109 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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