Healthcare Provider Details

I. General information

NPI: 1770400137
Provider Name (Legal Business Name): AMBER G SILVA APNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/06/2026
Last Update Date: 07/16/2026
Certification Date: 07/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

610 N BROADWAY
GREEN BAY WI
54303-3426
US

IV. Provider business mailing address

610 N BROADWAY
GREEN BAY WI
54303-3426
US

V. Phone/Fax

Practice location:
  • Phone: 920-437-9774
  • Fax:
Mailing address:
  • Phone: 920-437-9774
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number18646-33
License Number StateWI
# 2
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number18646-33
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: