Provider Demographics
NPI:1376870451
Name:DASILVA, ANA G (NP)
Entity Type:Individual
Prefix:
First Name:ANA
Middle Name:G
Last Name:DASILVA
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:ANA
Other - Middle Name:G
Other - Last Name:ARAUJO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:7114 CHARLOTTE PIKE APT 626
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37209-5377
Mailing Address - Country:US
Mailing Address - Phone:508-324-5911
Mailing Address - Fax:
Practice Address - Street 1:94 S MAIN ST
Practice Address - Street 2:
Practice Address - City:MIDDLEBORO
Practice Address - State:MA
Practice Address - Zip Code:02346-2123
Practice Address - Country:US
Practice Address - Phone:508-947-6100
Practice Address - Fax:508-947-6811
Is Sole Proprietor?:Yes
Enumeration Date:2009-11-10
Last Update Date:2024-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MARN264857363LA2200X
FLAPRN11025459363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAMA LICENSEOtherRN264857