Provider Demographics
NPI:1669917027
Name:SILVA, ANNA CAROLINA (NP)
Entity type:Individual
Prefix:MISS
First Name:ANNA
Middle Name:CAROLINA
Last Name:SILVA
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:45 W 132ND ST
Mailing Address - Street 2:APT 16R
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10037-3101
Mailing Address - Country:US
Mailing Address - Phone:646-373-7619
Mailing Address - Fax:
Practice Address - Street 1:45 W 132ND ST
Practice Address - Street 2:APT 16R
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10037-3101
Practice Address - Country:US
Practice Address - Phone:646-373-7619
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-12-21
Last Update Date:2016-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY648919-1163W00000X
NYF307875363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care
No163W00000XNursing Service ProvidersRegistered Nurse