Provider Demographics
NPI:1932619129
Name:SHADEED, APRIL MARIE (ARNP, FNP-C)
Entity Type:Individual
Prefix:
First Name:APRIL
Middle Name:MARIE
Last Name:SHADEED
Suffix:
Gender:F
Credentials:ARNP, FNP-C
Other - Prefix:
Other - First Name:APRIL
Other - Middle Name:MARIE
Other - Last Name:BOWMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:311 N CLYDE MORRIS BLVD STE 320
Mailing Address - Street 2:
Mailing Address - City:DAYTONA BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32114-2756
Mailing Address - Country:US
Mailing Address - Phone:386-255-6116
Mailing Address - Fax:386-254-8945
Practice Address - Street 1:311 N CLYDE MORRIS BLVD STE 320
Practice Address - Street 2:
Practice Address - City:DAYTONA BEACH
Practice Address - State:FL
Practice Address - Zip Code:32114-2756
Practice Address - Country:US
Practice Address - Phone:386-255-6116
Practice Address - Fax:386-254-8945
Is Sole Proprietor?:No
Enumeration Date:2017-10-03
Last Update Date:2017-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP9297886363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily