Provider Demographics
NPI:1285975185
Name:GOODLOW, APRILL (RN)
Entity type:Individual
Prefix:
First Name:APRILL
Middle Name:
Last Name:GOODLOW
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6288 CREEKFORD LN
Mailing Address - Street 2:
Mailing Address - City:LITHONIA
Mailing Address - State:GA
Mailing Address - Zip Code:30058-7984
Mailing Address - Country:US
Mailing Address - Phone:404-951-4340
Mailing Address - Fax:
Practice Address - Street 1:6288 CREEKFORD LN
Practice Address - Street 2:
Practice Address - City:LITHONIA
Practice Address - State:GA
Practice Address - Zip Code:30058-7984
Practice Address - Country:US
Practice Address - Phone:404-951-4340
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-03-04
Last Update Date:2013-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN091344163W00000X
MI4704169732163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse