Healthcare Provider Details

I. General information

NPI: 1609219211
Provider Name (Legal Business Name): APRIL REYNOLDS FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/12/2013
Last Update Date: 04/08/2024
Certification Date: 04/08/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

500 15TH AVE S
GREAT FALLS MT
59405-4324
US

IV. Provider business mailing address

162 EASTGATE WAY
MANCHESTER NH
03109-5220
US

V. Phone/Fax

Practice location:
  • Phone: 406-731-8888
  • Fax: 406-731-8318
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number058796-23
License Number StateNH
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number203026
License Number StateMT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: