MEDICARE: ABIGAIL SILVESTER MS, RDN, LD

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	133V00000X	Registered Dietitian	86053237	OH

General Provider Information

NPI Number	:	1427596881
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ABIGAIL SILVESTER MS, RDN, LD

Provider Business Mailing Address
First Line	:	6160 S WOODLANE DR
Second Line	:
City	:	MAYFIELD VILLAGE
State	:	OH
Zip	:	44143-3318
Country	:	US
Telephone Number	:	440-669-8308
Fax Number	:

Provider Business Practice Location Address
First Line	:	6160 S WOODLANE DR
Second Line	:
City	:	MAYFIELD VILLAGE
State	:	OH
Zip	:	44143-3318
Country	:	US
Telephone Number	:	440-669-8308
Fax Number	:

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

Provider Enumeration Date	:	02/06/2017
Last Update Date	:	02/06/2017

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