Healthcare Provider Details

I. General information

NPI: 1548033210
Provider Name (Legal Business Name): APRIL BRUNSVIK
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: APRIL RIVERA EDMONDS

II. Dates (important events)

Enumeration Date: 11/03/2023
Last Update Date: 11/03/2023
Certification Date: 11/03/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

848 CENTRAL ST
FRAMINGHAM MA
01701-4815
US

IV. Provider business mailing address

55 WATERVILLE ST # 2
NORTH GRAFTON MA
01536-1807
US

V. Phone/Fax

Practice location:
  • Phone: 508-879-5110
  • Fax:
Mailing address:
  • Phone: 801-403-0034
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: