MEDICARE: ELISE LOUISE SILVER PCD, BCD

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy	License Number State
1	101Y00000X	Counselor
2	174N00000X	Lactation Consultant (Non-RN)	NC
3	374J00000X	Doula	NC

General Provider Information

NPI Number	:	1235819475
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ELISE LOUISE SILVER PCD, BCD

Provider Business Mailing Address
First Line	:	4539 GRESHAM DR
Second Line	:
City	:	OXFORD
State	:	NC
Zip	:	27565-9437
Country	:	US
Telephone Number	:	919-438-2975
Fax Number	:

Provider Business Practice Location Address
First Line	:	7372 BERKSHIRE DOWNS DR
Second Line	:
City	:	RALEIGH
State	:	NC
Zip	:	27616-5636
Country	:	US
Telephone Number	:	919-438-2975
Fax Number	:

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

Provider Enumeration Date	:	07/21/2023
Last Update Date	:	02/23/2025

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