Healthcare Provider Details

I. General information

NPI: 1881287530
Provider Name (Legal Business Name): APRIL MICHELLE MCHUGH
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/13/2021
Last Update Date: 09/16/2026
Certification Date: 09/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

923 MEDICAL CIR
MYRTLE BEACH SC
29572-4116
US

IV. Provider business mailing address

4400 BRADFORD DR
CONWAY SC
29526-2428
US

V. Phone/Fax

Practice location:
  • Phone: 854-444-9998
  • Fax:
Mailing address:
  • Phone: 843-858-4052
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number26853
License Number StateSC
# 2
Primary TaxonomyY
Taxonomy Code363LG0600X
TaxonomyGerontology Nurse Practitioner
License Number26853
License Number StateSC
# 3
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number99457
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: