Provider Demographics
NPI:1538966767
Name:ANDERSON, APRIL DAWN
Entity type:Individual
Prefix:
First Name:APRIL
Middle Name:DAWN
Last Name:ANDERSON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:609 S ARLINGTON AVE
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:OH
Mailing Address - Zip Code:45505-2427
Mailing Address - Country:US
Mailing Address - Phone:214-929-0592
Mailing Address - Fax:
Practice Address - Street 1:607 S ARLINGTON AVE APT B
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:OH
Practice Address - Zip Code:45505-2427
Practice Address - Country:US
Practice Address - Phone:214-929-0592
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-26
Last Update Date:2025-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health