Provider Demographics
NPI:1144590688
Name:SMITH, APRIL LYNN (PA-C)
Entity Type:Individual
Prefix:
First Name:APRIL
Middle Name:LYNN
Last Name:SMITH
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:4110 INDEPENDENCE DR
Mailing Address - Street 2:SUITE 300
Mailing Address - City:SCHNECKSVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:18078-2581
Mailing Address - Country:US
Mailing Address - Phone:610-769-4200
Mailing Address - Fax:610-769-4204
Practice Address - Street 1:4110 INDEPENDENCE DR
Practice Address - Street 2:SUITE 300
Practice Address - City:SCHNECKSVILLE
Practice Address - State:PA
Practice Address - Zip Code:18078-2581
Practice Address - Country:US
Practice Address - Phone:610-769-4200
Practice Address - Fax:610-769-4204
Is Sole Proprietor?:Yes
Enumeration Date:2011-12-30
Last Update Date:2013-11-07
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAMA054965363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical