Provider Demographics
NPI:1962157743
Name:DISHON, APRIL DAWN (REGISTERED NURSE)
Entity type:Individual
Prefix:
First Name:APRIL
Middle Name:DAWN
Last Name:DISHON
Suffix:
Gender:F
Credentials:REGISTERED NURSE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9616 SUMMIT RD
Mailing Address - Street 2:
Mailing Address - City:NEWARK
Mailing Address - State:OH
Mailing Address - Zip Code:43056-9078
Mailing Address - Country:US
Mailing Address - Phone:740-403-3412
Mailing Address - Fax:
Practice Address - Street 1:9616 SUMMIT RD
Practice Address - Street 2:
Practice Address - City:NEWARK
Practice Address - State:OH
Practice Address - Zip Code:43056-9078
Practice Address - Country:US
Practice Address - Phone:740-403-3412
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-02-19
Last Update Date:2022-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH334531163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse