Healthcare Provider Details

I. General information

NPI: 1518492990
Provider Name (Legal Business Name): MRS. APRIL BROOKE CONARD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MS. APRIL BROOKE EVERTON

II. Dates (important events)

Enumeration Date: 04/24/2017
Last Update Date: 08/05/2025
Certification Date: 07/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5486 INDIAN RIVER RD
VIRGINIA BEACH VA
23464-5365
US

IV. Provider business mailing address

825 FAIRFAX AVE
NORFOLK VA
23507-1912
US

V. Phone/Fax

Practice location:
  • Phone: 757-547-0688
  • Fax:
Mailing address:
  • Phone: 757-446-5600
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code146N00000X
TaxonomyBasic Emergency Medical Technician
License Number201302118
License Number StateVA
# 2
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number0110011101
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: