=====================================================
General NPI Number Information
=====================================================
NPI Number | 1609697606
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | LYNDSAY J SILVER APRN PLLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 10/22/2024
-----------------------------------------------------
Last Update Date | 10/22/2024
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 624 W HASTINGS RD STE 11
-----------------------------------------------------
City | SPOKANE
-----------------------------------------------------
State | WA
-----------------------------------------------------
Zip | 99218-2877
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 509-210-1300
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 14611 N ELK LN
-----------------------------------------------------
City | NINE MILE FALLS
-----------------------------------------------------
State | WA
-----------------------------------------------------
Zip | 99026-9729
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 808-489-4911
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | LYNDSAY SILVER
-----------------------------------------------------
Credential | APRN
-----------------------------------------------------
Telephone | 808-489-4911
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 363L00000X
-----------------------------------------------------
Taxonomy Name | Nurse Practitioner
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------