MEDICARE: APRIL DEMARCO 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	221700000X	Art Therapist
2	163W00000X	Registered Nurse	273159	NC

General Provider Information

NPI Number	:	1417688367
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	APRIL DEMARCO RN

Provider Business Mailing Address
First Line	:	11100 MONROE RD STE B
Second Line	:
City	:	MATTHEWS
State	:	NC
Zip	:	28105-1322
Country	:	US
Telephone Number	:	704-841-1065
Fax Number	:

Provider Business Practice Location Address
First Line	:	11100 MONROE RD STE B
Second Line	:
City	:	MATTHEWS
State	:	NC
Zip	:	28105-1322
Country	:	US
Telephone Number	:	704-841-1065
Fax Number	:

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

Provider Enumeration Date	:	06/21/2022
Last Update Date	:	06/21/2022

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Directions to “ APRIL DEMARCO RN” Practice Location

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