Provider Demographics
NPI:1699554485
Name:ANDERSON, APRIL DAWN (RN)
Entity type:Individual
Prefix:
First Name:APRIL
Middle Name:DAWN
Last Name:ANDERSON
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 1:208 JESSAMINE ST
Mailing Address - Street 2:
Mailing Address - City:CONWAY
Mailing Address - State:SC
Mailing Address - Zip Code:29526-4003
Mailing Address - Country:US
Mailing Address - Phone:843-450-3833
Mailing Address - Fax:
Practice Address - Street 1:208 JESSAMINE ST
Practice Address - Street 2:
Practice Address - City:CONWAY
Practice Address - State:SC
Practice Address - Zip Code:29526-4003
Practice Address - Country:US
Practice Address - Phone:843-450-3833
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-09-21
Last Update Date:2023-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC247926163WC0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC0400XNursing Service ProvidersRegistered NurseCase Management