Healthcare Provider Details

I. General information

NPI: 1740246420
Provider Name (Legal Business Name): APRIL DAWN PRICE PAC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/22/2006
Last Update Date: 04/24/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

540 SNOW HILL RD
SALISBURY MD
21804-6031
US

IV. Provider business mailing address

100 E CARROLL ST
SALISBURY MD
21801-5422
US

V. Phone/Fax

Practice location:
  • Phone: 410-860-0084
  • Fax: 410-677-3443
Mailing address:
  • Phone: 410-543-7531
  • Fax: 410-912-4972

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberC50000448
License Number StateDE
# 2
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberC05021
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: