Healthcare Provider Details

I. General information

NPI: 1043088438
Provider Name (Legal Business Name): APRIL WALDEN CONNELLY PNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MS. APRIL WALDEN

II. Dates (important events)

Enumeration Date: 12/14/2023
Last Update Date: 08/23/2026
Certification Date: 08/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4300 JOSEY LANE SUITE#110
CARROLLTON TX
75010
US

IV. Provider business mailing address

4300 JOSEY LANE SUITE#110
CARROLLTON TX
75010
US

V. Phone/Fax

Practice location:
  • Phone: 214-483-3292
  • Fax:
Mailing address:
  • Phone: 214-483-3292
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License Number1144109
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: