Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363LA2100X | Nurse Practitioner - Acute Care | RN1054984 | DC |
N | 363LC0200X | Nurse Practitioner - Critical Care Medicine | R172460 | MD |
Y | 363LG0600X | Nurse Practitioner - Gerontology | 95013191 | CA |
N | 363LG0600X | Nurse Practitioner - Gerontology | RN1054984 | DC |
NPI | 1104262047 |
---|---|
Provider Name | Dawn Marie Silverman |
First Address | Mission Viejo, CA 92691-6400 |
Second Address | Mission Viejo, CA 92691-6400 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/05/2013 |
Last Update Date | 03/12/2021 |