Provider Demographics
NPI:1033415369
Name:SUPINGER, APRIL DAWN (LPN)
Entity Type:Individual
Prefix:
First Name:APRIL
Middle Name:DAWN
Last Name:SUPINGER
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:APRIL
Other - Middle Name:DAWN
Other - Last Name:COOPER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1006 CONCORD AVE
Mailing Address - Street 2:
Mailing Address - City:PIQUA
Mailing Address - State:OH
Mailing Address - Zip Code:45356-2718
Mailing Address - Country:US
Mailing Address - Phone:937-451-0951
Mailing Address - Fax:
Practice Address - Street 1:1006 CONCORD AVE
Practice Address - Street 2:
Practice Address - City:PIQUA
Practice Address - State:OH
Practice Address - Zip Code:45356-2718
Practice Address - Country:US
Practice Address - Phone:937-451-0951
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-02-03
Last Update Date:2011-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPN. 122062-M-IV164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse