Healthcare Provider Details

I. General information

NPI: 1992802037
Provider Name (Legal Business Name): ADELE SILHAVY CNM
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/20/2006
Last Update Date: 01/27/2020
Certification Date: 01/27/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1000 ASYLUM AVE RM 1026
HARTFORD CT
06105-1701
US

IV. Provider business mailing address

357 GRANT HILL RD
TOLLAND CT
06084-3830
US

V. Phone/Fax

Practice location:
  • Phone: 860-714-4927
  • Fax: 860-714-8298
Mailing address:
  • Phone: 860-875-6408
  • Fax: 860-714-8298

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License Number19
License Number StateCT
# 2
Primary TaxonomyY
Taxonomy Code363LX0001X
TaxonomyObstetrics & Gynecology Nurse Practitioner
License Number000019
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: