Healthcare Provider Details

I. General information

NPI: 1962505339
Provider Name (Legal Business Name): SARA R SILVERMAN APRN MSN PFNP RY3
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/07/2006
Last Update Date: 05/31/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6600 KALANIANAOLE HWY #225
HONOLULU HI
96825-1281
US

IV. Provider business mailing address

6600 KALANIANAOLE HWY #225
HONOLULU HI
96825-1281
US

V. Phone/Fax

Practice location:
  • Phone: 808-394-2800
  • Fax: 808-394-2826
Mailing address:
  • Phone: 808-394-2800
  • Fax: 808-394-2826

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code364SP0808X
TaxonomyPsychiatric/Mental Health Clinical Nurse Specialist
License NumberAPRN00069
License Number StateHI
# 2
Primary TaxonomyN
Taxonomy Code364SP0808X
TaxonomyPsychiatric/Mental Health Clinical Nurse Specialist
License NumberRN44359
License Number StateHI
# 3
Primary TaxonomyY
Taxonomy Code364SP0808X
TaxonomyPsychiatric/Mental Health Clinical Nurse Specialist
License NumberRX3
License Number StateHI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: