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NPI Code Detail

MEDICARE: MRS. APRIL D SOUTHWICK NP

MEDICARE:  MRS. APRIL D SOUTHWICK  NP
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
1363LA2200XAdult Health Nurse PractitionerNP482AID

General Provider Information

NPI Number : 1225020993
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. APRIL D SOUTHWICK NP
Provider Business Mailing Address
First Line : 190 E BANNOCK ST
Second Line :
City : BOISE
State : ID
Zip : 83712-6241
Country : US
Telephone Number : 208-381-2222
Fax Number :
Provider Business Practice Location Address
First Line : 703 S AMERICANA BLVD
Second Line : STE 130
City : BOISE
State : ID
Zip : 83702-5099
Country : US
Telephone Number : 208-706-7500
Fax Number : 208-706-7501
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/18/2005
Last Update Date : 02/16/2013

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Directions to “ MRS. APRIL D SOUTHWICK NP” Practice Location

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