Provider Demographics
NPI:1093585788
Name:BLEVINS, APRIL
Entity Type:Individual
Prefix:
First Name:APRIL
Middle Name:
Last Name:BLEVINS
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:PO BOX 118
Mailing Address - Street 2:
Mailing Address - City:PAYNESVILLE
Mailing Address - State:WV
Mailing Address - Zip Code:24873-0118
Mailing Address - Country:US
Mailing Address - Phone:336-770-0005
Mailing Address - Fax:
Practice Address - Street 1:2705 PANTHER RIDGE RD
Practice Address - Street 2:
Practice Address - City:PAYNESVILLE
Practice Address - State:WV
Practice Address - Zip Code:24873
Practice Address - Country:US
Practice Address - Phone:336-770-0005
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-01-04
Last Update Date:2024-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172V00000XOther Service ProvidersCommunity Health Worker