Provider Demographics
NPI:1295480085
Name:WILLIAMS, APRIL (NURSE)
Entity type:Individual
Prefix:MRS
First Name:APRIL
Middle Name:
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:NURSE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:608 HARRISON PLACE DR APT 927
Mailing Address - Street 2:
Mailing Address - City:DELAND
Mailing Address - State:FL
Mailing Address - Zip Code:32724-6994
Mailing Address - Country:US
Mailing Address - Phone:407-221-6626
Mailing Address - Fax:
Practice Address - Street 1:608 HARRISON PLACE DR
Practice Address - Street 2:
Practice Address - City:DELAND
Practice Address - State:FL
Practice Address - Zip Code:32724-6994
Practice Address - Country:US
Practice Address - Phone:407-221-6626
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-02-21
Last Update Date:2022-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPN5221957364SH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SH0200XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL04061976Medicaid