Healthcare Provider Details

I. General information

NPI: 1790278232
Provider Name (Legal Business Name): CHRISTIE JOANNE SILVA FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: CHRISTIE JOANNE SILVA FNP-C

II. Dates (important events)

Enumeration Date: 06/09/2018
Last Update Date: 12/05/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

222 W HENDERSON AVE
PORTERVILLE CA
93257-1731
US

IV. Provider business mailing address

222 W HENDERSON AVE
PORTERVILLE CA
93257-1731
US

V. Phone/Fax

Practice location:
  • Phone: 559-784-5483
  • Fax: 559-784-5433
Mailing address:
  • Phone: 559-827-3085
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WC1500X
TaxonomyCommunity Health Registered Nurse
License Number500469
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberNP95010880
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: