Healthcare Provider Details

I. General information

NPI: 1790275535
Provider Name (Legal Business Name): SILVANNA ESPOSITO MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/17/2018
Last Update Date: 05/20/2023
Certification Date: 05/20/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

731 IOWA AVE UNIT A
PALISADE CO
81526-8661
US

IV. Provider business mailing address

PO BOX 1727
GRAND JUNCTION CO
81502-1727
US

V. Phone/Fax

Practice location:
  • Phone: 970-644-4050
  • Fax: 970-644-3940
Mailing address:
  • Phone: 970-263-2600
  • Fax: 970-263-2692

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number311593
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberDR.0068952
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: