Basic Information
Provider Information
NPI: 1003150772
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: PYLES
FirstName: APRIL
MiddleName: DAWN
NamePrefix:  
NameSuffix:  
Credential: LPN
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 39271 DORY MILL RD
Address2:  
City: BETHESDA
State: OH
PostalCode: 437199725
CountryCode: US
TelephoneNumber: 7405100476
FaxNumber:  
Practice Location
Address1: 39271 DORY MILL RD
Address2:  
City: BETHESDA
State: OH
PostalCode: 437199725
CountryCode: US
TelephoneNumber: 7405100476
FaxNumber:  
Other Information
ProviderEnumerationDate: 11/19/2012
LastUpdateDate: 04/14/2015
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
164W00000X150048OHY Nursing Service ProvidersLicensed Practical Nurse 

No ID Information.


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