Individual
APRIL IHNE MADARIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2158
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0930X
BCBS
NC
05
—
5914423
—
NC
01
—
P00778489
MEDICARE RAILROAD CARRIER
NC
Enumeration date
09/08/2009
Last updated
11/06/2020
Update your record
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