Provider Demographics
NPI:1215260500
Name:SHOWALTER, APRIL N (PA-C)
Entity type:Individual
Prefix:
First Name:APRIL
Middle Name:N
Last Name:SHOWALTER
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8201 UNIVERSITY PKWY
Mailing Address - Street 2:
Mailing Address - City:PENSACOLA
Mailing Address - State:FL
Mailing Address - Zip Code:32514-4904
Mailing Address - Country:US
Mailing Address - Phone:850-474-8100
Mailing Address - Fax:850-474-8083
Practice Address - Street 1:2114 AIRPORT BLVD
Practice Address - Street 2:STE 1500
Practice Address - City:PENSACOLA
Practice Address - State:FL
Practice Address - Zip Code:32504-9075
Practice Address - Country:US
Practice Address - Phone:850-969-2340
Practice Address - Fax:850-969-2345
Is Sole Proprietor?:No
Enumeration Date:2009-09-17
Last Update Date:2017-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPA21000363A00000X
FLPA9110178363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant