Provider Demographics
NPI:1992003776
Name:WILSON, APRIL L (MS)
Entity Type:Individual
Prefix:
First Name:APRIL
Middle Name:L
Last Name:WILSON
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:577 ALLEN RD
Mailing Address - Street 2:
Mailing Address - City:BRODNAX
Mailing Address - State:VA
Mailing Address - Zip Code:23920-3524
Mailing Address - Country:US
Mailing Address - Phone:786-447-8348
Mailing Address - Fax:
Practice Address - Street 1:577 ALLEN RD
Practice Address - Street 2:
Practice Address - City:BRODNAX
Practice Address - State:VA
Practice Address - Zip Code:23920-3524
Practice Address - Country:US
Practice Address - Phone:786-447-8348
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-03-03
Last Update Date:2011-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program