Healthcare Provider Details

I. General information

NPI: 1376406645
Provider Name (Legal Business Name): MS. APRIL AMMON-FAULKNER
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/04/2025
Last Update Date: 12/04/2025
Certification Date: 12/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

796 W WILSON ST
SALEM OH
44460-2066
US

IV. Provider business mailing address

796 W WILSON ST
SALEM OH
44460-2066
US

V. Phone/Fax

Practice location:
  • Phone: 234-567-1836
  • Fax:
Mailing address:
  • Phone: 234-567-1836
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: