Basic Information
Provider Information
NPI: 1851857122
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: POE
FirstName: APRIL
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: CRNP
OtherOrganizationName:  
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OtherLastName:  
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OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 820 W WASHINGTON ST
Address2:  
City: EUFAULA
State: AL
PostalCode: 360271822
CountryCode: US
TelephoneNumber: 3346887000
FaxNumber:  
Practice Location
Address1: 130 N RANDOLPH AVE STE B
Address2:  
City: EUFAULA
State: AL
PostalCode: 360271631
CountryCode: US
TelephoneNumber: 3342324313
FaxNumber: 3342324664
Other Information
ProviderEnumerationDate: 02/12/2019
LastUpdateDate: 07/11/2019
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363LF0000X1-118213ALY Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily

No ID Information.


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