Provider Demographics
NPI:1346584661
Name:SILVERI, KATHERINE A (PA)
Entity Type:Individual
Prefix:MS
First Name:KATHERINE
Middle Name:A
Last Name:SILVERI
Suffix:
Gender:F
Credentials:PA
Other - Prefix:MS
Other - First Name:KATHERINE
Other - Middle Name:
Other - Last Name:MOTHERSHEAD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PA
Mailing Address - Street 1:PO BOX 37189
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21297-3189
Mailing Address - Country:US
Mailing Address - Phone:571-423-5699
Mailing Address - Fax:571-423-5698
Practice Address - Street 1:8078 CRESCENT PARK DR STE 201
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:VA
Practice Address - Zip Code:20155-3449
Practice Address - Country:US
Practice Address - Phone:703-753-4999
Practice Address - Fax:703-753-5915
Is Sole Proprietor?:No
Enumeration Date:2012-11-27
Last Update Date:2022-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPA60694060363A00000X
NY1106013363A00000X
VA0110007154363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant