Provider Demographics
NPI:1568723021
Name:BLAINE, APRIL L
Entity Type:Individual
Prefix:
First Name:APRIL
Middle Name:L
Last Name:BLAINE
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 1:2116 38TH ST SE
Mailing Address - Street 2:UNIT B
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20020-1388
Mailing Address - Country:US
Mailing Address - Phone:202-533-9387
Mailing Address - Fax:
Practice Address - Street 1:2116 38TH ST SE
Practice Address - Street 2:UNIT B
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20020-1388
Practice Address - Country:US
Practice Address - Phone:202-533-9387
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-05-31
Last Update Date:2012-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide