MEDICARE: YERANDY SILVA BLANCO RN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	APRN11043436	FL
2	363LF0000X	Family Nurse Practitioner	1183724	TX
3	163W00000X	Registered Nurse	1183724	TX
4	163W00000X	Registered Nurse	834513	NY
5	363LF0000X	Family Nurse Practitioner	359013	NY

General Provider Information

NPI Number	:	1114730173
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	YERANDY SILVA BLANCO RN

Provider Business Mailing Address
First Line	:	2211 GARDEN ARBOR LN
Second Line	:
City	:	TOMBALL
State	:	TX
Zip	:	77375-3534
Country	:	US
Telephone Number	:	346-714-0520
Fax Number	:

Provider Business Practice Location Address
First Line	:	2211 GARDEN ARBOR LN
Second Line	:
City	:	TOMBALL
State	:	TX
Zip	:	77375-3534
Country	:	US
Telephone Number	:	346-714-0520
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/31/2025
Last Update Date	:	04/09/2026

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