Provider Demographics
NPI:1427451624
Name:PHILLIPS-NOHL, APRIL
Entity type:Individual
Prefix:MS
First Name:APRIL
Middle Name:
Last Name:PHILLIPS-NOHL
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 1:834 N SEMINARY ST STE 502
Mailing Address - Street 2:
Mailing Address - City:GALESBURG
Mailing Address - State:IL
Mailing Address - Zip Code:61401-0501
Mailing Address - Country:US
Mailing Address - Phone:309-343-2262
Mailing Address - Fax:309-343-2081
Practice Address - Street 1:834 N SEMINARY ST STE 502
Practice Address - Street 2:
Practice Address - City:GALESBURG
Practice Address - State:IL
Practice Address - Zip Code:61401-0501
Practice Address - Country:US
Practice Address - Phone:309-343-2262
Practice Address - Fax:309-343-2081
Is Sole Proprietor?:No
Enumeration Date:2014-10-01
Last Update Date:2014-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN209.011832363LA2100X
IL209.011832363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
No363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL209.011832OtherLICENCE