Basic Information
| Provider Information | |||||||||
| NPI: | 1629330782 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | FOUST-WARD | ||||||||
| FirstName: | APRIL | ||||||||
| MiddleName: | CHAUNDRA NELLIE | ||||||||
| NamePrefix: | |||||||||
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| Credential: | PA-C | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1714 E HUNDRED RD | ||||||||
| Address2: | SUITE 104 | ||||||||
| City: | CHESTER | ||||||||
| State: | VA | ||||||||
| PostalCode: | 238363310 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8046810556 | ||||||||
| FaxNumber: | 8046810553 | ||||||||
| Practice Location | |||||||||
| Address1: | 1714 E HUNDRED RD | ||||||||
| Address2: | SUITE 104 | ||||||||
| City: | CHESTER | ||||||||
| State: | VA | ||||||||
| PostalCode: | 238363310 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8046810556 | ||||||||
| FaxNumber: | 8046810553 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/13/2012 | ||||||||
| LastUpdateDate: | 06/28/2012 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363AM0700X | 0110003921 | VA | Y | Physician Assistants & Advanced Practice Nursing Providers | Physician Assistant | Medical |
No ID Information.