MEDICARE: CASSANDRA LYNN SILVER PSYCHIATRIC NP

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	163W00000X	Registered Nurse	95077126	CA
2	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	95012192	CA

General Provider Information

NPI Number	:	1508347485
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CASSANDRA LYNN SILVER PSYCHIATRIC NP

Provider Business Mailing Address
First Line	:	1100 W STEWART DR
Second Line	:
City	:	ORANGE
State	:	CA
Zip	:	92868-3891
Country	:	US
Telephone Number	:	714-771-8000
Fax Number	:

Provider Business Practice Location Address
First Line	:	505 N TUSTIN AVE STE 182
Second Line	:
City	:	SANTA ANA
State	:	CA
Zip	:	92705-3775
Country	:	US
Telephone Number	:	800-801-9833
Fax Number	:

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

Provider Enumeration Date	:	08/28/2018
Last Update Date	:	02/10/2021

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