Healthcare Provider Details

I. General information

NPI: 1659772473
Provider Name (Legal Business Name): APRIL L. THOMAS FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/11/2014
Last Update Date: 08/17/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1650 COCHRANE CIR
FORT CARSON CO
80913
US

IV. Provider business mailing address

519A E BLOOMINGDALE AVE STE A
BRANDON FL
33511-8180
US

V. Phone/Fax

Practice location:
  • Phone: 719-524-4068
  • Fax:
Mailing address:
  • Phone: 813-655-4100
  • Fax: 813-655-1775

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number5007154
License Number StateNC
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberARNP9322962
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: