Healthcare Provider Details

I. General information

NPI: 1699050682
Provider Name (Legal Business Name): APRIL D. MCGEORGE APRN/RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/21/2011
Last Update Date: 08/02/2023
Certification Date: 08/02/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3851 E LOHMAN AVE STE 4
LAS CRUCES NM
88011-8296
US

IV. Provider business mailing address

3851 E LOHMAN AVE STE 4
LAS CRUCES NM
88011-8296
US

V. Phone/Fax

Practice location:
  • Phone: 575-993-5611
  • Fax: 575-483-7224
Mailing address:
  • Phone: 575-993-5611
  • Fax: 575-483-7224

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberCNP-74437
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: