MEDICARE: MISS ANNA CAROLINA SILVA 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	648919-1	NY
2	363LP2300X	Primary Care Nurse Practitioner	F307875	NY

General Provider Information

NPI Number	:	1669917027
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MISS ANNA CAROLINA SILVA NP

Provider Business Mailing Address
First Line	:	45 W 132ND ST
Second Line	:	APT 16R
City	:	NEW YORK
State	:	NY
Zip	:	10037-3101
Country	:	US
Telephone Number	:	646-373-7619
Fax Number	:

Provider Business Practice Location Address
First Line	:	45 W 132ND ST
Second Line	:	APT 16R
City	:	NEW YORK
State	:	NY
Zip	:	10037-3101
Country	:	US
Telephone Number	:	646-373-7619
Fax Number	:

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

Provider Enumeration Date	:	12/21/2016
Last Update Date	:	12/21/2016

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