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NPI Code Detail

MEDICARE: APRIL PROCTOR

MEDICARE:   APRIL  PROCTOR
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
1247200000XOther Technician
2106S00000XBehavior Technician

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1932567385
Entity Type Code : Individual
Provider Name (Legal Business Name) : APRIL PROCTOR
Provider Business Mailing Address
First Line : 2211 SAINT ANDREWS BLVD
Second Line :
City : PANAMA CITY
State : FL
Zip : 32405-2167
Country : US
Telephone Number : 850-818-0095
Fax Number :
Provider Business Practice Location Address
First Line : 2211 SAINT ANDREWS BLVD
Second Line :
City : PANAMA CITY
State : FL
Zip : 32405-2167
Country : US
Telephone Number : 850-818-0095
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/31/2016
Last Update Date : 03/14/2024

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Directions to “ APRIL PROCTOR ” Practice Location

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