Healthcare Provider Details

I. General information

NPI: 1437097979
Provider Name (Legal Business Name): HAILEE RAE SILVA CGC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/24/2026
Last Update Date: 03/24/2026
Certification Date: 03/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3838 N CAMPBELL AVE BLDG 2
TUCSON AZ
85719-1454
US

IV. Provider business mailing address

5500 N VALLEY VIEW RD UNIT 129
TUCSON AZ
85718-5360
US

V. Phone/Fax

Practice location:
  • Phone: 520-694-6010
  • Fax: 520-694-2892
Mailing address:
  • Phone: 520-694-8186
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code170300000X
TaxonomyGenetic Counselor (M.S.)
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: