MEDICARE: APRIL L NELSON

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	376J00000X	Homemaker	236387	FL
2	376J00000X	Homemaker	236387

General Provider Information

NPI Number	:	1215575386
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	APRIL L NELSON

Provider Business Mailing Address
First Line	:	1102 N ALBANY AVE
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33607-5403
Country	:	US
Telephone Number	:	941-237-9930
Fax Number	:

Provider Business Practice Location Address
First Line	:	1102 N ALBANY AVE
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33607-5403
Country	:	US
Telephone Number	:	941-237-9930
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/19/2019
Last Update Date	:	12/19/2019

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Directions to “ APRIL L NELSON ” Practice Location

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