Provider Demographics
NPI:1306131065
Name:POLING, APRIL JEANETTE (LPN)
Entity type:Individual
Prefix:MRS
First Name:APRIL
Middle Name:JEANETTE
Last Name:POLING
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 1:8351 MARIETTA RD. SE
Mailing Address - Street 2:
Mailing Address - City:NEW LEXINGTON
Mailing Address - State:OH
Mailing Address - Zip Code:43764-9743
Mailing Address - Country:US
Mailing Address - Phone:740-684-0992
Mailing Address - Fax:
Practice Address - Street 1:8351 MARIETTA RD. SE
Practice Address - Street 2:
Practice Address - City:NEW LEXINGTON
Practice Address - State:OH
Practice Address - Zip Code:43764-9743
Practice Address - Country:US
Practice Address - Phone:740-684-0992
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-10
Last Update Date:2011-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHP.N.1083681V164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse