Healthcare Provider Details

I. General information

NPI: 1730426867
Provider Name (Legal Business Name): APRIL BURLESON RN, EMT-IV
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/09/2013
Last Update Date: 01/09/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

209 N BELLS ST
ALAMO TN
38001-1755
US

IV. Provider business mailing address

209 N BELLS ST
ALAMO TN
38001-1755
US

V. Phone/Fax

Practice location:
  • Phone: 731-696-2505
  • Fax:
Mailing address:
  • Phone: 731-696-2505
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WC1500X
TaxonomyCommunity Health Registered Nurse
License Number128724
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: