Healthcare Provider Details

I. General information

NPI: 1003202805
Provider Name (Legal Business Name): APRIL STEWART STOWERS FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/08/2015
Last Update Date: 06/22/2026
Certification Date: 06/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2045 W GRAND AVE STE B
CHICAGO IL
60612-1577
US

IV. Provider business mailing address

2045 W GRAND AVE STE B
CHICAGO IL
60612-1577
US

V. Phone/Fax

Practice location:
  • Phone: 708-630-1534
  • Fax: 888-517-8619
Mailing address:
  • Phone: 708-630-1534
  • Fax: 888-517-8619

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberARNP9229443
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: