Healthcare Provider Details
I. General information
NPI: 1669115911
Provider Name (Legal Business Name): HEATHER STARR SILVER FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 04/14/2022
Last Update Date: 01/24/2024
Certification Date: 01/24/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
163 MEDICAL PARK DR STE 210
SILER CITY NC
27344-6790
US
IV. Provider business mailing address
5221 PARAMOUNT PKWY STE 220
MORRISVILLE NC
27560-5490
US
V. Phone/Fax
- Phone: 919-742-6032
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 363LF0000X |
| Taxonomy | Family Nurse Practitioner |
| License Number | SILV-IU7DP |
| License Number State | NC |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363LF0000X |
| Taxonomy | Family Nurse Practitioner |
| License Number | 5016154 |
| License Number State | NC |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: