Provider Demographics
NPI:1235414152
Name:SILVER, ROSEANN C (MSN, CRNP)
Entity Type:Individual
Prefix:
First Name:ROSEANN
Middle Name:C
Last Name:SILVER
Suffix:
Gender:F
Credentials:MSN, CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:56 STEEPLECHASE DR
Mailing Address - Street 2:
Mailing Address - City:HOLLAND
Mailing Address - State:PA
Mailing Address - Zip Code:18966-5314
Mailing Address - Country:US
Mailing Address - Phone:215-579-2318
Mailing Address - Fax:215-579-2317
Practice Address - Street 1:56 STEEPLECHASE DR
Practice Address - Street 2:
Practice Address - City:HOLLAND
Practice Address - State:PA
Practice Address - Zip Code:18966-5314
Practice Address - Country:US
Practice Address - Phone:215-579-2318
Practice Address - Fax:215-579-2317
Is Sole Proprietor?:No
Enumeration Date:2011-10-12
Last Update Date:2011-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP011641363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health