Provider Demographics
NPI:1295129724
Name:DENMARK, APRIL
Entity type:Individual
Prefix:
First Name:APRIL
Middle Name:
Last Name:DENMARK
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 1:1398 4TH ST NE
Mailing Address - Street 2:
Mailing Address - City:WINTER HAVEN
Mailing Address - State:FL
Mailing Address - Zip Code:33881-2441
Mailing Address - Country:US
Mailing Address - Phone:863-808-6061
Mailing Address - Fax:863-297-5522
Practice Address - Street 1:1398 4TH ST NE
Practice Address - Street 2:
Practice Address - City:WINTER HAVEN
Practice Address - State:FL
Practice Address - Zip Code:33881-2441
Practice Address - Country:US
Practice Address - Phone:863-808-6061
Practice Address - Fax:863-297-5522
Is Sole Proprietor?:Yes
Enumeration Date:2015-03-23
Last Update Date:2015-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL1103374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide