Provider Demographics
NPI:1174129936
Name:PLUMMER, APRIL ANN (PROVIDER 5718502)
Entity type:Individual
Prefix:
First Name:APRIL
Middle Name:ANN
Last Name:PLUMMER
Suffix:
Gender:F
Credentials:PROVIDER 5718502
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5541 STORCK DR
Mailing Address - Street 2:
Mailing Address - City:DAYTON
Mailing Address - State:OH
Mailing Address - Zip Code:45424-3844
Mailing Address - Country:US
Mailing Address - Phone:937-554-3340
Mailing Address - Fax:
Practice Address - Street 1:5541 STORCK DR
Practice Address - Street 2:
Practice Address - City:DAYTON
Practice Address - State:OH
Practice Address - Zip Code:45424-3844
Practice Address - Country:US
Practice Address - Phone:937-554-3340
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-12-08
Last Update Date:2020-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH5718502374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide