Provider Demographics
NPI:1871882951
Name:HENRY, APRIL LYNN (NP-C)
Entity type:Individual
Prefix:MRS
First Name:APRIL
Middle Name:LYNN
Last Name:HENRY
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19074 DOUGLAS ROAD
Mailing Address - Street 2:
Mailing Address - City:NOTRE DAME
Mailing Address - State:IN
Mailing Address - Zip Code:46556-1048
Mailing Address - Country:US
Mailing Address - Phone:574-631-5471
Mailing Address - Fax:574-631-1599
Practice Address - Street 1:19074 DOUGLAS ROAD
Practice Address - Street 2:HOLY CROSS HOUSE CLINIC
Practice Address - City:NOTRE DAME
Practice Address - State:IN
Practice Address - Zip Code:46556
Practice Address - Country:US
Practice Address - Phone:574-631-5471
Practice Address - Fax:574-631-1599
Is Sole Proprietor?:Yes
Enumeration Date:2011-03-29
Last Update Date:2013-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN28129104A363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily