Provider Demographics
NPI:1740246420
Name:PRICE, APRIL DAWN (PAC)
Entity type:Individual
Prefix:
First Name:APRIL
Middle Name:DAWN
Last Name:PRICE
Suffix:
Gender:F
Credentials:PAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 E CARROLL ST
Mailing Address - Street 2:
Mailing Address - City:SALISBURY
Mailing Address - State:MD
Mailing Address - Zip Code:21801-5422
Mailing Address - Country:US
Mailing Address - Phone:410-543-7531
Mailing Address - Fax:410-912-4972
Practice Address - Street 1:540 SNOW HILL RD
Practice Address - Street 2:
Practice Address - City:SALISBURY
Practice Address - State:MD
Practice Address - Zip Code:21804-6031
Practice Address - Country:US
Practice Address - Phone:410-860-0084
Practice Address - Fax:410-677-3443
Is Sole Proprietor?:No
Enumeration Date:2006-04-22
Last Update Date:2014-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEC50000448363A00000X
MDC05021363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
DE018511S72Medicaid
DE018511S72Medicaid
DE014401D18Medicare PIN