Healthcare Provider Details

I. General information

NPI: 1922641448
Provider Name (Legal Business Name): LILIAN SILVA DANA APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/28/2019
Last Update Date: 06/22/2026
Certification Date: 06/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

121 S OREM BLVD STE 103
OREM UT
84058-3006
US

IV. Provider business mailing address

121 S OREM BLVD STE 103
OREM UT
84058-3006
US

V. Phone/Fax

Practice location:
  • Phone: 801-225-4911
  • Fax: 801-225-4854
Mailing address:
  • Phone: 801-225-4911
  • Fax: 801-225-4854

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number7680304-4405
License Number StateUT
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number7680304-4405
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: