MEDICARE: APRIL FRITZ

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	164W00000X	Licensed Practical Nurse	PN 5176338	FL

General Provider Information

NPI Number	:	1679754949
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	APRIL FRITZ

Provider Business Mailing Address
First Line	:	7776 103RD CT
Second Line	:
City	:	VERO BEACH
State	:	FL
Zip	:	32967-3693
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	7776 103RD CT
Second Line	:
City	:	VERO BEACH
State	:	FL
Zip	:	32967-3693
Country	:	US
Telephone Number	:	772-581-4055
Fax Number	:

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

Provider Enumeration Date	:	11/15/2007
Last Update Date	:	11/15/2007

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Directions to “ APRIL FRITZ ” Practice Location

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