MEDICARE: LILLIAN NYAWIRA DASILVA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	5383480012	KS

General Provider Information

NPI Number	:	1144052242
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LILLIAN NYAWIRA DASILVA

Provider Business Mailing Address
First Line	:	1720 S CYPRESS ST APT 101
Second Line	:
City	:	WICHITA
State	:	KS
Zip	:	67207-5585
Country	:	US
Telephone Number	:	316-559-8986
Fax Number	:

Provider Business Practice Location Address
First Line	:	1720 S CYPRESS ST APT 101
Second Line	:
City	:	WICHITA
State	:	KS
Zip	:	67207-5585
Country	:	US
Telephone Number	:	316-990-2482
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/16/2024
Last Update Date	:	08/16/2024

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Directions to “ LILLIAN NYAWIRA DASILVA ” Practice Location

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