MEDICARE: APRIL LYNN WHITNEY HIS

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	237700000X	Hearing Instrument Specialist	AS5287	FL

General Provider Information

NPI Number	:	1275060113
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	APRIL LYNN WHITNEY HIS

Provider Business Mailing Address
First Line	:	17814 SW 95TH AVE
Second Line	:
City	:	ARCHER
State	:	FL
Zip	:	32618-3404
Country	:	US
Telephone Number	:	352-214-6525
Fax Number	:

Provider Business Practice Location Address
First Line	:	1107 S WALNUT ST
Second Line	:
City	:	STARKE
State	:	FL
Zip	:	32091-4413
Country	:	US
Telephone Number	:	904-964-4327
Fax Number	:	904-368-0574

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

Provider Enumeration Date	:	05/22/2017
Last Update Date	:	07/21/2022

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