Provider Demographics
NPI:1063633006
Name:TEIXEIRA-DASILVA, KATHERINE STRAND (NP)
Entity Type:Individual
Prefix:
First Name:KATHERINE
Middle Name:STRAND
Last Name:TEIXEIRA-DASILVA
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:KATHERINE
Other - Middle Name:T
Other - Last Name:DASILVA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:NP
Mailing Address - Street 1:106 AUBURN ST
Mailing Address - Street 2:
Mailing Address - City:AUBURNDALE
Mailing Address - State:MA
Mailing Address - Zip Code:02466-2502
Mailing Address - Country:US
Mailing Address - Phone:617-763-5541
Mailing Address - Fax:
Practice Address - Street 1:231 FOREST ST
Practice Address - Street 2:
Practice Address - City:WELLESLEY
Practice Address - State:MA
Practice Address - Zip Code:02481-6839
Practice Address - Country:US
Practice Address - Phone:781-239-6363
Practice Address - Fax:812-395-0697
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-01
Last Update Date:2022-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA206713363LF0000X, 363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA206713OtherLICENSE