MEDICARE: MRS. LEANNE NMI 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	251C00000X	Developmentally Disabled Services Day Training Agency	219744800	WY

General Provider Information

NPI Number	:	1750246955
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. LEANNE NMI SILVA

Provider Business Mailing Address
First Line	:	6089 AROSA ST
Second Line	:
City	:	LAS CRUCES
State	:	NM
Zip	:	88012-7444
Country	:	US
Telephone Number	:	307-267-5166
Fax Number	:

Provider Business Practice Location Address
First Line	:	6089 AROSA ST
Second Line	:
City	:	LAS CRUCES
State	:	NM
Zip	:	88012-7444
Country	:	US
Telephone Number	:	307-267-5166
Fax Number	:

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

Provider Enumeration Date	:	12/19/2025
Last Update Date	:	12/19/2025

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