Healthcare Provider Details

I. General information

NPI: 1821576141
Provider Name (Legal Business Name): AMIE DA SILVA NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MS. AMIE SANKOH

II. Dates (important events)

Enumeration Date: 07/30/2018
Last Update Date: 07/30/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5724 EDGE AVENUE
LANHAM MD
20706
US

IV. Provider business mailing address

1145 19TH ST NW STE 501
WASHINGTON DC
20036-3741
US

V. Phone/Fax

Practice location:
  • Phone: 301-613-5047
  • Fax:
Mailing address:
  • Phone: 202-835-2225
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberRN1015652
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: