Provider Demographics
NPI:1518067909
Name:SILBERT, LISA M (ARNP)
Entity Type:Individual
Prefix:MRS
First Name:LISA
Middle Name:M
Last Name:SILBERT
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:P.O. BOX 539
Mailing Address - Street 2:
Mailing Address - City:ETNA
Mailing Address - State:NH
Mailing Address - Zip Code:03750
Mailing Address - Country:US
Mailing Address - Phone:603-643-3793
Mailing Address - Fax:603-643-1421
Practice Address - Street 1:215 NORTH MAIN STREET
Practice Address - Street 2:
Practice Address - City:WHITE RIVER JUNCTION
Practice Address - State:NH
Practice Address - Zip Code:05009-0001
Practice Address - Country:US
Practice Address - Phone:802-295-9363
Practice Address - Fax:802-291-6262
Is Sole Proprietor?:No
Enumeration Date:2006-09-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH055960-23-05363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health