Provider Demographics
NPI:1437829959
Name:GOODMAN, APRIL LASHAUN
Entity Type:Individual
Prefix:
First Name:APRIL
Middle Name:LASHAUN
Last Name:GOODMAN
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 1:4517 KAILEEN CIR NE
Mailing Address - Street 2:
Mailing Address - City:PALM BAY
Mailing Address - State:FL
Mailing Address - Zip Code:32905-3026
Mailing Address - Country:US
Mailing Address - Phone:772-404-9218
Mailing Address - Fax:
Practice Address - Street 1:4517 KAILEEN CIR NE
Practice Address - Street 2:
Practice Address - City:PALM BAY
Practice Address - State:FL
Practice Address - Zip Code:32905-3026
Practice Address - Country:US
Practice Address - Phone:772-404-9218
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-09-16
Last Update Date:2021-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes372600000XNursing Service Related ProvidersAdult Companion