Provider Demographics
NPI:1447789375
Name:SILVEYRA, CASSANDRA LORETTA (RN)
Entity Type:Individual
Prefix:
First Name:CASSANDRA
Middle Name:LORETTA
Last Name:SILVEYRA
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3200 N 36TH ST
Mailing Address - Street 2:
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53216-3716
Mailing Address - Country:US
Mailing Address - Phone:414-286-6504
Mailing Address - Fax:
Practice Address - Street 1:3200 N 36TH ST
Practice Address - Street 2:
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53216-3716
Practice Address - Country:US
Practice Address - Phone:414-286-6504
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-06-05
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI170715163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse