Healthcare Provider Details

I. General information

NPI: 1922932185
Provider Name (Legal Business Name): APRIL FREDERICK RN,MEDSURG-BC,NC-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/11/2026
Last Update Date: 06/11/2026
Certification Date: 06/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10120 TWO NOTCH RD STE 2357
COLUMBIA SC
29223-4395
US

IV. Provider business mailing address

10120 TWO NOTCH RD STE 2357
COLUMBIA SC
29223-4395
US

V. Phone/Fax

Practice location:
  • Phone: 803-567-2719
  • Fax:
Mailing address:
  • Phone: 803-567-2719
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number201393
License Number StateSC
# 2
Primary TaxonomyN
Taxonomy Code163WM0705X
TaxonomyMedical-Surgical Registered Nurse
License Number201393
License Number StateSC
# 3
Primary TaxonomyN
Taxonomy Code171400000X
TaxonomyHealth & Wellness Coach
License Number201393
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: