Healthcare Provider Details

I. General information

NPI: 1003477811
Provider Name (Legal Business Name): ELIZABETH SILVERS MSN, RN, CPNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/23/2019
Last Update Date: 02/13/2021
Certification Date: 02/13/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1400 TENNESSEE ST STE 3
SAN FRANCISCO CA
94107-3983
US

IV. Provider business mailing address

1400 TENNESSEE ST STE 3
SAN FRANCISCO CA
94107-3983
US

V. Phone/Fax

Practice location:
  • Phone: 415-797-1414
  • Fax: 415-797-1413
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License Number201913677
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: