Healthcare Provider Details

I. General information

NPI: 1669309449
Provider Name (Legal Business Name): NINEL SILVAGNOLI
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/06/2026
Last Update Date: 05/06/2026
Certification Date: 05/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

45 DAN RD STE 125
CANTON MA
02021-2860
US

IV. Provider business mailing address

45 DAN RD STE 125
CANTON MA
02021-2860
US

V. Phone/Fax

Practice location:
  • Phone: 857-688-5138
  • Fax:
Mailing address:
  • Phone: 857-688-5138
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number25593
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: