MEDICARE: SILVIA FRADKIN ARNP PS

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

General Provider Information

NPI Number	:	1558401687
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SILVIA FRADKIN ARNP PS

Provider Business Mailing Address
First Line	:	2025 NARROWS VIEW CIR NW APT D134
Second Line	:
City	:	GIG HARBOR
State	:	WA
Zip	:	98335-6815
Country	:	US
Telephone Number	:	253-514-8562
Fax Number	:	253-565-5899

Provider Business Practice Location Address
First Line	:	6512 20TH STREET CT W STE C
Second Line	:
City	:	FIRCREST
State	:	WA
Zip	:	98466-6212
Country	:	US
Telephone Number	:	253-459-0295
Fax Number	:	253-565-5899

Authorized Official
Title or Position	:	CHIEF OFFICER
Name	:	MS. SILVIA FRADKININ
Credential	:	ARNP
Telephone Number	:	253-459-0295

Provider Enumeration Date	:	02/07/2007
Last Update Date	:	10/09/2007

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