Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LA2100X | Nurse Practitioner - Acute Care | 0024181548 | VA |
NPI | 1033787049 |
---|---|
Provider Name | Tiana L Silvers |
First Address | Chester, VA 23831-6633 |
Second Address | Chester, VA 23831-6633 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 15/06/2021 |
Last Update Date | 15/06/2021 |