MEDICARE: APRIL WILSON ANSLEY RN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163W00000X	Registered Nurse	323514	NC
2	363LF0000X	Family Nurse Practitioner	APN.31730	SC

General Provider Information

NPI Number	:	1083451447
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	APRIL WILSON ANSLEY RN

Provider Business Mailing Address
First Line	:	5529 ARDEN MILL DR STE 101
Second Line	:
City	:	FORT MILL
State	:	SC
Zip	:	29715-6977
Country	:	US
Telephone Number	:	704-221-3780
Fax Number	:

Provider Business Practice Location Address
First Line	:	5529 ARDEN MILL DR STE 101
Second Line	:
City	:	FORT MILL
State	:	SC
Zip	:	29715-6977
Country	:	US
Telephone Number	:	803-280-1085
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/12/2024
Last Update Date	:	04/10/2026

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