MEDICARE: VERONICA ELENA SILVA

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	374U00000X	Home Health Aide

General Provider Information

NPI Number	:	1376047993
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	VERONICA ELENA SILVA

Provider Business Mailing Address
First Line	:	3101 W CHARLESTON BLVD
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89102-1931
Country	:	US
Telephone Number	:	702-822-2600
Fax Number	:	702-822-1910

Provider Business Practice Location Address
First Line	:	7818 BRENT LEAF AVE
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89131-4701
Country	:	US
Telephone Number	:	702-396-4147
Fax Number	:

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

Provider Enumeration Date	:	03/19/2018
Last Update Date	:	03/19/2018

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Directions to “ VERONICA ELENA SILVA ” Practice Location

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