Provider Demographics
NPI:1053728311
Name:WADLEY, APRIL GALYON
Entity type:Individual
Prefix:
First Name:APRIL
Middle Name:GALYON
Last Name:WADLEY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:921 HIGH SPRINGS RD
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37932-3116
Mailing Address - Country:US
Mailing Address - Phone:865-659-6434
Mailing Address - Fax:
Practice Address - Street 1:921 HIGH SPRINGS RD
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37932-3116
Practice Address - Country:US
Practice Address - Phone:865-659-6434
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-07-18
Last Update Date:2014-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN18788363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily