Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363LA2200X | Nurse Practitioner - Adult Health | UP000753A | PA |
Y | 363LP2300X | Nurse Practitioner - Primary Care | 00NP00753A | PA |
NPI | 1013434026 |
---|---|
Provider Name | Stephanie Silver |
First Address | Bridgeville, PA 15017-1197 |
Second Address | Bridgeville, PA 15017-1197 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 30/08/2017 |
Last Update Date | 30/08/2017 |