Healthcare Provider Details
I. General information
NPI: 1578930269
Provider Name (Legal Business Name): APRIL WEBER APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 08/28/2015
Last Update Date: 03/07/2023
Certification Date: 08/30/2022
Deactivation Date:
Reactivation Date:
III. Provider practice location address
514 W NOBLE AVE
WILLISTON FL
32696-2036
US
IV. Provider business mailing address
PO BOX 2066
LECANTO FL
34460-2066
US
V. Phone/Fax
- Phone: 352-528-9355
- Fax:
- Phone: 352-563-0931
- Fax: 352-563-0935
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 363LF0000X |
| Taxonomy | Family Nurse Practitioner |
| License Number | 28156809A |
| License Number State | IN |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363L00000X |
| Taxonomy | Nurse Practitioner |
| License Number | ARNP948644 |
| License Number State | FL |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: