Provider Demographics
NPI:1427596881
Name:SILVESTER, ABIGAIL (MS, RDN, LD)
Entity Type:Individual
Prefix:
First Name:ABIGAIL
Middle Name:
Last Name:SILVESTER
Suffix:
Gender:F
Credentials:MS, RDN, LD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6160 S WOODLANE DR
Mailing Address - Street 2:
Mailing Address - City:MAYFIELD VILLAGE
Mailing Address - State:OH
Mailing Address - Zip Code:44143-3318
Mailing Address - Country:US
Mailing Address - Phone:440-669-8308
Mailing Address - Fax:
Practice Address - Street 1:6160 S WOODLANE DR
Practice Address - Street 2:
Practice Address - City:MAYFIELD VILLAGE
Practice Address - State:OH
Practice Address - Zip Code:44143-3318
Practice Address - Country:US
Practice Address - Phone:440-669-8308
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-02-06
Last Update Date:2017-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH86053237133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered