Healthcare Provider Details

I. General information

NPI: 1033738745
Provider Name (Legal Business Name): APRIL GADBERRY
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/13/2020
Last Update Date: 04/13/2020
Certification Date: 04/13/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

106 STOVER DR
DELAWARE OH
43015-8601
US

IV. Provider business mailing address

5085 MANOR RIDGE CT
WESTERVILLE OH
43082-8876
US

V. Phone/Fax

Practice location:
  • Phone: 740-417-9265
  • Fax:
Mailing address:
  • Phone: 509-999-5994
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: