Provider Demographics
| NPI: | 1881787422 |
|---|---|
| Name: | MORRIS, APRIL LYNN (NNP) |
| Entity type: | Individual |
| Prefix: | |
| First Name: | APRIL |
| Middle Name: | LYNN |
| Last Name: | MORRIS |
| Suffix: | |
| Gender: | F |
| Credentials: | NNP |
| Other - Prefix: | |
| Other - First Name: | APRIL |
| Other - Middle Name: | LYNN |
| Other - Last Name: | ROLANDO |
| Other - Suffix: | |
| Other - Last Name Type: | Former Name |
| Other - Credentials: | NNP |
| Mailing Address - Street 1: | 909 N BROADWAY |
| Mailing Address - Street 2: | PBO |
| Mailing Address - City: | EVERETT |
| Mailing Address - State: | WA |
| Mailing Address - Zip Code: | 98201-1409 |
| Mailing Address - Country: | US |
| Mailing Address - Phone: | 425-317-0699 |
| Mailing Address - Fax: | 425-317-0291 |
| Practice Address - Street 1: | 900 PACIFIC AVE |
| Practice Address - Street 2: | 2ND FLOOR |
| Practice Address - City: | EVERETT |
| Practice Address - State: | WA |
| Practice Address - Zip Code: | 98201-4168 |
| Practice Address - Country: | US |
| Practice Address - Phone: | 425-304-6040 |
| Practice Address - Fax: | 425-304-6045 |
| Is Sole Proprietor?: | No |
| Enumeration Date: | 2006-10-02 |
| Last Update Date: | 2009-02-03 |
| Deactivation Date: | |
| Deactivation Code: | |
| Reactivation Date: |
Provider Licenses
| State | License ID | Taxonomies |
|---|---|---|
| WA | AP30006680 | 363LN0000X |
Provider Taxonomies
| Primary? | Code | Type | Classification | Specialization |
|---|---|---|---|---|
| Yes | 363LN0000X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Neonatal |
Provider Identifiers
| State | Identifier ID | ID Type | Issuer |
|---|---|---|---|
| WA | 9640962 | Medicaid | |
| WA | 8802326 | Medicare ID - Type Unspecified | |
| WA | G8877563 | Medicare PIN | |
| WA | Q11300 | Medicare UPIN |