Provider Demographics
NPI:1174913388
Name:SILVERMAN, SUMMER GARY (NP)
Entity type:Individual
Prefix:MR
First Name:SUMMER
Middle Name:GARY
Last Name:SILVERMAN
Suffix:
Gender:M
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:255 W LAKE RD
Mailing Address - Street 2:
Mailing Address - City:FITZWILLIAM
Mailing Address - State:NH
Mailing Address - Zip Code:03447-3508
Mailing Address - Country:US
Mailing Address - Phone:603-585-6763
Mailing Address - Fax:
Practice Address - Street 1:255 W LAKE RD
Practice Address - Street 2:
Practice Address - City:FITZWILLIAM
Practice Address - State:NH
Practice Address - Zip Code:03447-3508
Practice Address - Country:US
Practice Address - Phone:603-585-6763
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-01-26
Last Update Date:2015-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH051213-23363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily