Healthcare Provider Details
I. General information
NPI: 1285949172
Provider Name (Legal Business Name): ANGELA HOPE SILVERNAIL MELZER LSW, OTR
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 08/16/2010
Last Update Date: 08/16/2010
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1024 CENTRAL PARK DR
STEAMBOAT SPRINGS CO
80487-8813
US
IV. Provider business mailing address
1024 CENTRAL PARK DR
STEAMBOAT SPRINGS CO
80487-8813
US
V. Phone/Fax
- Phone: 970-875-2731
- Fax:
- Phone: 970-875-2731
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 104100000X |
| Taxonomy | Social Worker |
| License Number | 503 |
| License Number State | CO |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: