Provider Demographics
NPI:1285905943
Name:POTTS, APRIL (LPN)
Entity type:Individual
Prefix:
First Name:APRIL
Middle Name:
Last Name:POTTS
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 6157
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10150-6157
Mailing Address - Country:US
Mailing Address - Phone:347-737-3326
Mailing Address - Fax:
Practice Address - Street 1:4209 PLUMMERS PROMISE DR
Practice Address - Street 2:
Practice Address - City:BOWIE
Practice Address - State:MD
Practice Address - Zip Code:20720-5604
Practice Address - Country:US
Practice Address - Phone:347-737-3326
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-01-25
Last Update Date:2013-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY307533164W00000X
MDLP49913164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse