Healthcare Provider Details

I. General information

NPI: 1518323179
Provider Name (Legal Business Name): SHAKIYRA SILVA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/12/2016
Last Update Date: 01/12/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

748 S NEW ST SUITES C & D
DOVER DE
19904-3573
US

IV. Provider business mailing address

4923 OGLETOWN STANTON RD SUITE 200
NEWARK DE
19713-2081
US

V. Phone/Fax

Practice location:
  • Phone: 302-734-3227
  • Fax: 302-734-0391
Mailing address:
  • Phone: 302-225-0451
  • Fax: 302-225-0472

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberL10047807
License Number StateDE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: