1992860100 NPI number — MS. LINDA A SILVA P.A.-C

Table of content: MS. LINDA A SILVA P.A.-C (NPI 1992860100)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1992860100 NPI number — MS. LINDA A SILVA P.A.-C

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
SILVA
Provider First Name:
LINDA
Provider Middle Name:
A
Provider Name Prefix Text:
MS.
Provider Name Suffix Text:
Provider Credential Text:
P.A.-C
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1992860100
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
06/21/2024
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
6832 E BROWN RD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
MESA
Provider Business Mailing Address State Name:
AZ
Provider Business Mailing Address Postal Code:
85207-3755
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
480-830-8333
Provider Business Mailing Address Fax Number:
480-961-9339

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1450 S DOBSON RD
Provider Second Line Business Practice Location Address:
320B
Provider Business Practice Location Address City Name:
MESA
Provider Business Practice Location Address State Name:
AZ
Provider Business Practice Location Address Postal Code:
85202-4712
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
480-835-9755
Provider Business Practice Location Address Fax Number:
480-964-8668
Provider Enumeration Date:
12/27/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 363AM0700X , with the licence number:  2517 , registered in the state of AZ ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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