Healthcare Provider Details

I. General information

NPI: 1649927203
Provider Name (Legal Business Name): APRIL D OGBORN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/03/2022
Last Update Date: 03/18/2022
Certification Date: 03/18/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1510 COLUMBUS AVE STE 230
WASHINGTON COURT HOUSE OH
43160-1987
US

IV. Provider business mailing address

61836 US HIGHWAY 50
MC ARTHUR OH
45651-8418
US

V. Phone/Fax

Practice location:
  • Phone: 740-333-3333
  • Fax:
Mailing address:
  • Phone: 740-600-8323
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN.CNP.026725
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: