Healthcare Provider Details

I. General information

NPI: 1417540857
Provider Name (Legal Business Name): APRIL R SAULS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/17/2021
Last Update Date: 02/17/2021
Certification Date: 02/17/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

228 BEECH VALLEY RD
FAIRDALE WV
25839-1110
US

IV. Provider business mailing address

PO BOX 154
FAIRDALE WV
25839-0154
US

V. Phone/Fax

Practice location:
  • Phone: 304-890-2196
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code172V00000X
TaxonomyCommunity Health Worker
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: