Healthcare Provider Details

I. General information

NPI: 1245934439
Provider Name (Legal Business Name): SILVANA CHIPOLLINI MSN, APRN, PMHNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/30/2023
Last Update Date: 03/21/2026
Certification Date: 03/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

30740 STATE ROAD 54 STE 109
WESLEY CHAPEL FL
33543-6009
US

IV. Provider business mailing address

30740 STATE ROAD 54 STE 109
WESLEY CHAPEL FL
33543-6009
US

V. Phone/Fax

Practice location:
  • Phone: 813-518-8321
  • Fax:
Mailing address:
  • Phone: 813-518-8321
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number11025110
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: