Provider Demographics
NPI:1508192303
Name:SILVA, COLLEEN M (FNP-BC)
Entity Type:Individual
Prefix:
First Name:COLLEEN
Middle Name:M
Last Name:SILVA
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:COLLEEN
Other - Middle Name:M
Other - Last Name:PATCH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:FNP-BC
Mailing Address - Street 1:362 N BEDFORD ST
Mailing Address - Street 2:
Mailing Address - City:EAST BRIDGEWATER
Mailing Address - State:MA
Mailing Address - Zip Code:02333-1148
Mailing Address - Country:US
Mailing Address - Phone:508-350-2400
Mailing Address - Fax:508-350-2322
Practice Address - Street 1:1 COMPASS WAY STE 107
Practice Address - Street 2:
Practice Address - City:EAST BRIDGEWATER
Practice Address - State:MA
Practice Address - Zip Code:02333-1464
Practice Address - Country:US
Practice Address - Phone:508-350-2400
Practice Address - Fax:508-350-2322
Is Sole Proprietor?:No
Enumeration Date:2009-10-29
Last Update Date:2017-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA260227363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily