Healthcare Provider Details

I. General information

NPI: 1700684636
Provider Name (Legal Business Name): VANESSA SILVA MSN, FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/05/2025
Last Update Date: 03/05/2025
Certification Date: 03/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8902 WOODMAN AVE
ARLETA CA
91331-6401
US

IV. Provider business mailing address

8902 WOODMAN AVE
ARLETA CA
91331-6401
US

V. Phone/Fax

Practice location:
  • Phone: 818-830-7033
  • Fax:
Mailing address:
  • Phone: 818-830-7033
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number95034237
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: