Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LF0000X | Nurse Practitioner - Family Medicine | AP131162 | TX |
NPI | 1003266347 |
---|---|
Provider Name | Rosa Linda Silvestro |
First Address | Harlingen, TX 78552-3928 |
Second Address | Harlingen, TX 78552-3928 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/06/2016 |
Last Update Date | 17/06/2016 |