Healthcare Provider Details

I. General information

NPI: 1497703672
Provider Name (Legal Business Name): APRIL ANDERSON PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/04/2006
Last Update Date: 10/09/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3681 N MAIN ST
FARMVILLE NC
27828-1464
US

IV. Provider business mailing address

1850 W ARLINGTON BLVD
GREENVILLE NC
27834-5704
US

V. Phone/Fax

Practice location:
  • Phone: 252-753-7141
  • Fax: 252-753-5834
Mailing address:
  • Phone: 252-413-6740
  • Fax: 252-752-6600

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number103104
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: