Healthcare Provider Details

I. General information

NPI: 1386284768
Provider Name (Legal Business Name): MEGAN E SILVEIRA NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/13/2020
Last Update Date: 03/19/2025
Certification Date: 03/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

208 COLLYER ST
PROVIDENCE RI
02904-1560
US

IV. Provider business mailing address

208 COLLYER ST STE 301A
PROVIDENCE RI
02904-1560
US

V. Phone/Fax

Practice location:
  • Phone: 401-444-5525
  • Fax:
Mailing address:
  • Phone: 401-725-4888
  • Fax: 401-725-3336

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberAPRN02219
License Number StateRI
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN02219
License Number StateRI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: