Provider Demographics
NPI:1194430330
Name:NORWOOD, APRIL K
Entity type:Individual
Prefix:
First Name:APRIL
Middle Name:K
Last Name:NORWOOD
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 1:4264 N 63RD ST
Mailing Address - Street 2:
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53216-1243
Mailing Address - Country:US
Mailing Address - Phone:414-841-5853
Mailing Address - Fax:
Practice Address - Street 1:2266 N PROSPECT AVE STE 210
Practice Address - Street 2:
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53202-6321
Practice Address - Country:US
Practice Address - Phone:414-841-5853
Practice Address - Fax:414-921-5589
Is Sole Proprietor?:Yes
Enumeration Date:2023-01-23
Last Update Date:2023-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI100181203Medicaid