Provider Demographics
NPI:1104441039
Name:WASHINGTON, APRIL MONIKA (NURSE PRACTITIONER)
Entity type:Individual
Prefix:
First Name:APRIL
Middle Name:MONIKA
Last Name:WASHINGTON
Suffix:
Gender:F
Credentials:NURSE PRACTITIONER
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:110 CLINTON LN
Mailing Address - Street 2:
Mailing Address - City:ALBANY
Mailing Address - State:GA
Mailing Address - Zip Code:31701-4701
Mailing Address - Country:US
Mailing Address - Phone:229-894-1611
Mailing Address - Fax:
Practice Address - Street 1:195 MARTIN LUTHER KING JR AVE SW
Practice Address - Street 2:
Practice Address - City:CAIRO
Practice Address - State:GA
Practice Address - Zip Code:39828-2605
Practice Address - Country:US
Practice Address - Phone:229-397-9355
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-06-16
Last Update Date:2020-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN157954363LC1500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LC1500XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerCommunity Health