Provider Demographics
NPI:1881570422
Name:REDEFINE MEDICAL SPA PLLC
Entity type:Organization
Organization Name:REDEFINE MEDICAL SPA PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:APRIL
Authorized Official - Middle Name:J
Authorized Official - Last Name:GREENE
Authorized Official - Suffix:
Authorized Official - Credentials:DNP, CNM
Authorized Official - Phone:657-505-2552
Mailing Address - Street 1:895 STATE FARM RD STE 402
Mailing Address - Street 2:
Mailing Address - City:BOONE
Mailing Address - State:NC
Mailing Address - Zip Code:28607-5587
Mailing Address - Country:US
Mailing Address - Phone:657-505-2552
Mailing Address - Fax:
Practice Address - Street 1:895 STATE FARM RD STE 402
Practice Address - Street 2:
Practice Address - City:BOONE
Practice Address - State:NC
Practice Address - Zip Code:28607-5587
Practice Address - Country:US
Practice Address - Phone:657-505-2552
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-08-11
Last Update Date:2025-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center