Healthcare Provider Details

I. General information

NPI: 1851669246
Provider Name (Legal Business Name): APRIL MICHELLE CANADAY ACNP, RD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/13/2011
Last Update Date: 12/06/2022
Certification Date: 12/06/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18951 N MEMORIAL DR
HUMBLE TX
77338-4217
US

IV. Provider business mailing address

6431 FANNIN ST # 4.234
HOUSTON TX
77030-1501
US

V. Phone/Fax

Practice location:
  • Phone: 281-540-7700
  • Fax:
Mailing address:
  • Phone: 713-500-6683
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License NumberAP1422683
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: