Basic Information
| Provider Information | |||||||||
| NPI: | 1740246420 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | PRICE | ||||||||
| FirstName: | APRIL | ||||||||
| MiddleName: | DAWN | ||||||||
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| Credential: | PAC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 100 E CARROLL ST | ||||||||
| Address2: | |||||||||
| City: | SALISBURY | ||||||||
| State: | MD | ||||||||
| PostalCode: | 218015422 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4105437531 | ||||||||
| FaxNumber: | 4109124972 | ||||||||
| Practice Location | |||||||||
| Address1: | 540 SNOW HILL RD | ||||||||
| Address2: | |||||||||
| City: | SALISBURY | ||||||||
| State: | MD | ||||||||
| PostalCode: | 218046031 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4108600084 | ||||||||
| FaxNumber: | 4106773443 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 04/22/2006 | ||||||||
| LastUpdateDate: | 04/24/2014 | ||||||||
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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 | 363A00000X | C50000448 | DE | N | Physician Assistants & Advanced Practice Nursing Providers | Physician Assistant | 363A00000X | C05021 | MD | Y | Physician Assistants & Advanced Practice Nursing Providers | Physician Assistant |
ID Information
| ID | Type | State | Issuer | Description | 018511S72 | 05 | DE | MEDICAID |