Healthcare Provider Details

I. General information

NPI: 1073867057
Provider Name (Legal Business Name): MARION JOSEPHINE ACHESON-SILVER MS, RN, NNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/30/2012
Last Update Date: 01/07/2021
Certification Date: 01/07/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5430 FREDERICKSBURG RD STE 508
SAN ANTONIO TX
78229-3561
US

IV. Provider business mailing address

5430 FREDERICKSBURG RD STE 508
SAN ANTONIO TX
78229-3561
US

V. Phone/Fax

Practice location:
  • Phone: 210-541-8281
  • Fax: 210-541-9123
Mailing address:
  • Phone: 210-541-8281
  • Fax: 210-541-9123

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LN0000X
TaxonomyNeonatal Nurse Practitioner
License NumberRN58069
License Number StateME
# 2
Primary TaxonomyN
Taxonomy Code363LN0005X
TaxonomyCritical Care Neonatal Nurse Practitioner
License NumberRN58069
License Number StateME
# 3
Primary TaxonomyY
Taxonomy Code363LN0000X
TaxonomyNeonatal Nurse Practitioner
License NumberAP122989
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: