Individual
APRIL LYN MOTOVIDLAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
2977 FOUR H PARK RD STE 102, CENTREVILLE, MD 21617-2237
(410) 758-4030
(410) 758-4733
Mailing address
PO BOX 749495, ATLANTA, GA 30374-9495
(855) 963-2100
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R144963
MD
364SA2100X
Acute Care Clinical Nurse Specialist
R144963
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
MD
Enumeration date
09/08/2008
Last updated
05/14/2024
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