MEDICARE: GILSON ANTONIO DA SILVA JUNIOR

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	363L00000X	Nurse Practitioner	897974	NV

General Provider Information

NPI Number	:	1447109103
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GILSON ANTONIO DA SILVA JUNIOR

Provider Business Mailing Address
First Line	:	319 MOUNT BARCROFT DR
Second Line	:
City	:	HENDERSON
State	:	NV
Zip	:	89015-7662
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	319 MOUNT BARCROFT DR
Second Line	:
City	:	HENDERSON
State	:	NV
Zip	:	89015-7662
Country	:	US
Telephone Number	:	725-400-7810
Fax Number	:

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

Provider Enumeration Date	:	01/26/2026
Last Update Date	:	01/26/2026

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