Healthcare Provider Details

I. General information

NPI: 1376256222
Provider Name (Legal Business Name): BAILEY ANN SILVERIO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/05/2023
Last Update Date: 05/01/2025
Certification Date: 05/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

165 BUTLER RD
KITTANNING PA
16201-2329
US

IV. Provider business mailing address

2114 CHICORA RD
CHICORA PA
16025-3020
US

V. Phone/Fax

Practice location:
  • Phone: 724-543-2265
  • Fax:
Mailing address:
  • Phone: 814-229-7755
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberRP457395
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: