Provider Demographics
NPI:1497133516
Name:SILVESTER, ANGELA TERRY (SSW)
Entity Type:Individual
Prefix:
First Name:ANGELA
Middle Name:TERRY
Last Name:SILVESTER
Suffix:
Gender:F
Credentials:SSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:38 S 300 E
Mailing Address - Street 2:APT 2
Mailing Address - City:BRIGHAM CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84302-2656
Mailing Address - Country:US
Mailing Address - Phone:435-760-0855
Mailing Address - Fax:435-723-4851
Practice Address - Street 1:625 S 300 E
Practice Address - Street 2:
Practice Address - City:BRIGHAM CITY
Practice Address - State:UT
Practice Address - Zip Code:84302-2910
Practice Address - Country:US
Practice Address - Phone:435-723-3176
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-05-08
Last Update Date:2015-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator