Provider Demographics
NPI:1770318834
Name:SHUMARD, APRIL ANN
Entity type:Individual
Prefix:
First Name:APRIL
Middle Name:ANN
Last Name:SHUMARD
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 1:5555 WALDOS BEACH RD STE A
Mailing Address - Street 2:
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28306-5507
Mailing Address - Country:US
Mailing Address - Phone:760-562-8750
Mailing Address - Fax:
Practice Address - Street 1:5555 WALDOS BEACH RD STE A
Practice Address - Street 2:
Practice Address - City:FAYETTEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28306-5507
Practice Address - Country:US
Practice Address - Phone:760-562-8750
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-09-06
Last Update Date:2024-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC14589225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist