Healthcare Provider Details

I. General information

NPI: 1972189124
Provider Name (Legal Business Name): APRIL S THOMAS RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/18/2021
Last Update Date: 03/18/2021
Certification Date: 03/18/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

708 CENTER RIDGE CT
ALBANY GA
31721-4562
US

IV. Provider business mailing address

708 CENTER RIDGE CT
ALBANY GA
31721-4562
US

V. Phone/Fax

Practice location:
  • Phone: 917-279-6004
  • Fax:
Mailing address:
  • Phone: 917-279-6004
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103TA0400X
TaxonomyAddiction (Substance Use Disorder) Psychologist
License NumberRN301279
License Number StateGA
# 2
Primary TaxonomyY
Taxonomy Code163WP0808X
TaxonomyPsychiatric/Mental Health Registered Nurse
License NumberRN301279
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: