Healthcare Provider Details

I. General information

NPI: 1558549998
Provider Name (Legal Business Name): APRIL L PATTERSON CRNA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/07/2008
Last Update Date: 08/01/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

866 EDENRIDGE DR
BOARDMAN OH
44512-3127
US

IV. Provider business mailing address

866 EDENRIDGE DR
BOARDMAN OH
44512-3127
US

V. Phone/Fax

Practice location:
  • Phone: 330-518-9579
  • Fax:
Mailing address:
  • Phone: 330-518-9579
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License NumberRN306243
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: