Healthcare Provider Details

I. General information

NPI: 1568448017
Provider Name (Legal Business Name): APRIL N HAZELWOOD P.A.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: APRIL C NICHOLS P.A.

II. Dates (important events)

Enumeration Date: 12/16/2005
Last Update Date: 10/11/2025
Certification Date: 10/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

180 FERRUM MOUNTAIN RD
FERRUM VA
24088-2939
US

IV. Provider business mailing address

PO BOX 9
LAUREL FORK VA
24352-0009
US

V. Phone/Fax

Practice location:
  • Phone: 540-365-4469
  • Fax: 540-365-4272
Mailing address:
  • Phone: 276-398-1200
  • Fax: 540-365-4272

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License Number0110001774
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: