Healthcare Provider Details

I. General information

NPI: 1447761952
Provider Name (Legal Business Name): APRIL YEATTS GILES FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/24/2017
Last Update Date: 10/24/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

404 AIRPORT DR STE A
DANVILLE VA
24540-5196
US

IV. Provider business mailing address

2037 HICKORY RD
CHATHAM VA
24531-5107
US

V. Phone/Fax

Practice location:
  • Phone: 434-791-2612
  • Fax: 434-791-1612
Mailing address:
  • Phone: 434-250-5126
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number0024175391
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: