Provider Demographics
NPI:1295961399
Name:MANN, APRIL NICOLE (APRN)
Entity type:Individual
Prefix:MRS
First Name:APRIL
Middle Name:NICOLE
Last Name:MANN
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 100174
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:29202-3174
Mailing Address - Country:US
Mailing Address - Phone:864-512-5984
Mailing Address - Fax:864-512-7586
Practice Address - Street 1:1520 WHITEHALL RD
Practice Address - Street 2:
Practice Address - City:ANDERSON
Practice Address - State:SC
Practice Address - Zip Code:29625-1916
Practice Address - Country:US
Practice Address - Phone:864-512-5984
Practice Address - Fax:864-512-7586
Is Sole Proprietor?:No
Enumeration Date:2009-06-03
Last Update Date:2023-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC3903363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily