Provider Demographics
NPI:1518547454
Name:MASHBURN, APRIL CHERIE (RN, BSN)
Entity Type:Individual
Prefix:MRS
First Name:APRIL
Middle Name:CHERIE
Last Name:MASHBURN
Suffix:
Gender:F
Credentials:RN, BSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11 ALBAN LN
Mailing Address - Street 2:
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72223-9180
Mailing Address - Country:US
Mailing Address - Phone:501-258-0568
Mailing Address - Fax:
Practice Address - Street 1:16715 CHAMPAGNOLLE DR
Practice Address - Street 2:
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72223-7029
Practice Address - Country:US
Practice Address - Phone:501-258-0568
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-04-14
Last Update Date:2021-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARR069962163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse