Provider Demographics
NPI:1891538609
Name:GOUVEIA, APRIL (CHWC, CHN)
Entity type:Individual
Prefix:
First Name:APRIL
Middle Name:
Last Name:GOUVEIA
Suffix:
Gender:F
Credentials:CHWC, CHN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:188 BACK RIVER RD
Mailing Address - Street 2:
Mailing Address - City:BEDFORD
Mailing Address - State:NH
Mailing Address - Zip Code:03110-6633
Mailing Address - Country:US
Mailing Address - Phone:740-966-1110
Mailing Address - Fax:
Practice Address - Street 1:188 BACK RIVER RD
Practice Address - Street 2:
Practice Address - City:BEDFORD
Practice Address - State:NH
Practice Address - Zip Code:03110-6633
Practice Address - Country:US
Practice Address - Phone:740-966-1110
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-06-18
Last Update Date:2024-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH16451133N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133N00000XDietary & Nutritional Service ProvidersNutritionist