Provider Demographics
NPI:1952055667
Name:GOODWIN, APRIL JOANN
Entity Type:Individual
Prefix:
First Name:APRIL
Middle Name:JOANN
Last Name:GOODWIN
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 1:9509 VAN BUREN ST
Mailing Address - Street 2:
Mailing Address - City:LANHAM
Mailing Address - State:MD
Mailing Address - Zip Code:20706-3416
Mailing Address - Country:US
Mailing Address - Phone:202-710-0725
Mailing Address - Fax:
Practice Address - Street 1:9509 VAN BUREN ST
Practice Address - Street 2:
Practice Address - City:LANHAM
Practice Address - State:MD
Practice Address - Zip Code:20706-3416
Practice Address - Country:US
Practice Address - Phone:202-710-0725
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-02-10
Last Update Date:2022-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747A0650XNursing Service Related ProvidersTechnicianAttendant Care Provider