Provider Demographics
NPI:1730426867
Name:BURLESON, APRIL (RN, EMT-IV)
Entity type:Individual
Prefix:MRS
First Name:APRIL
Middle Name:
Last Name:BURLESON
Suffix:
Gender:F
Credentials:RN, EMT-IV
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:209 N BELLS ST
Mailing Address - Street 2:
Mailing Address - City:ALAMO
Mailing Address - State:TN
Mailing Address - Zip Code:38001-1755
Mailing Address - Country:US
Mailing Address - Phone:731-696-2505
Mailing Address - Fax:
Practice Address - Street 1:209 N BELLS ST
Practice Address - Street 2:
Practice Address - City:ALAMO
Practice Address - State:TN
Practice Address - Zip Code:38001-1755
Practice Address - Country:US
Practice Address - Phone:731-696-2505
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-01-09
Last Update Date:2013-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN128724163WC1500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC1500XNursing Service ProvidersRegistered NurseCommunity Health