Healthcare Provider Details

I. General information

NPI: 1396466025
Provider Name (Legal Business Name): ANDREIA SILVA MPH, RD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/12/2022
Last Update Date: 07/28/2024
Certification Date: 07/28/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

232 MANATEE AVE E
BRADENTON FL
34208-1932
US

IV. Provider business mailing address

2304 HICKORY AVE
SARASOTA FL
34234-7318
US

V. Phone/Fax

Practice location:
  • Phone: 941-254-4957
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133VN1201X
TaxonomyObesity and Weight Management Nutrition Registered Dietitian
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: