Provider Demographics
NPI:1023896099
Name:SILVA, NICHOLAS OLIVER
Entity type:Individual
Prefix:
First Name:NICHOLAS
Middle Name:OLIVER
Last Name:SILVA
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:156 BAKER RD
Mailing Address - Street 2:
Mailing Address - City:SWANSEA
Mailing Address - State:MA
Mailing Address - Zip Code:02777-5002
Mailing Address - Country:US
Mailing Address - Phone:508-410-6716
Mailing Address - Fax:
Practice Address - Street 1:156 BAKER RD
Practice Address - Street 2:
Practice Address - City:SWANSEA
Practice Address - State:MA
Practice Address - Zip Code:02777-5002
Practice Address - Country:US
Practice Address - Phone:508-410-6716
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-09-20
Last Update Date:2023-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program