Provider Demographics
NPI:1275946121
Name:DIXON, APRIL L (LPN)
Entity Type:Individual
Prefix:MS
First Name:APRIL
Middle Name:L
Last Name:DIXON
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:300 S SYCAMORE ST
Mailing Address - Street 2:APT E
Mailing Address - City:UNION CITY
Mailing Address - State:OH
Mailing Address - Zip Code:45390
Mailing Address - Country:US
Mailing Address - Phone:765-509-1420
Mailing Address - Fax:
Practice Address - Street 1:512 PORTLAND ST
Practice Address - Street 2:
Practice Address - City:RIDGEVILLE
Practice Address - State:IN
Practice Address - Zip Code:47380
Practice Address - Country:US
Practice Address - Phone:765-509-1420
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-06-09
Last Update Date:2014-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
INA27060853A164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse