Provider Demographics
NPI:1194099531
Name:WILLARD, APRIL DAWN (RN, MSN, NNP, CNS)
Entity type:Individual
Prefix:
First Name:APRIL
Middle Name:DAWN
Last Name:WILLARD
Suffix:
Gender:F
Credentials:RN, MSN, NNP, CNS
Other - Prefix:
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Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:2450 W HUNTING PARK AVE
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19129-1302
Mailing Address - Country:US
Mailing Address - Phone:215-707-6606
Mailing Address - Fax:215-707-6428
Practice Address - Street 1:3401 N BROAD ST
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19140-5103
Practice Address - Country:US
Practice Address - Phone:215-707-6606
Practice Address - Fax:215-707-6428
Is Sole Proprietor?:Yes
Enumeration Date:2012-03-02
Last Update Date:2018-04-16
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PASP013779363LN0000X, 363LN0000X
CA761466364SN0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LN0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerNeonatal
No364SN0000XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistNeonatal