MEDICARE: SILVER CONTINENCE CARE CA, NURSING PC

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	363L00000X	Nurse Practitioner

General Provider Information

NPI Number	:	1578874350
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SILVER CONTINENCE CARE CA, NURSING PC

Provider Business Mailing Address
First Line	:	1001 HAWKINS ST
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37203-4758
Country	:	US
Telephone Number	:	615-300-6892
Fax Number	:	888-215-7042

Provider Business Practice Location Address
First Line	:	1010 N CENTRAL AVE
Second Line	:
City	:	GLENDALE
State	:	CA
Zip	:	91202-2937
Country	:	US
Telephone Number	:	615-300-6892
Fax Number	:	888-215-7042

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MS. CARA STONE
Credential	:
Telephone Number	:	310-699-2199

Provider Enumeration Date	:	06/28/2010
Last Update Date	:	07/09/2010

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