Provider Demographics
NPI:1518195387
Name:SILVER, GLENN ARLIN (ARNP)
Entity Type:Individual
Prefix:MR
First Name:GLENN
Middle Name:ARLIN
Last Name:SILVER
Suffix:
Gender:M
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:425 E 8TH ST
Mailing Address - Street 2:
Mailing Address - City:WAITSBURG
Mailing Address - State:WA
Mailing Address - Zip Code:99361-9742
Mailing Address - Country:US
Mailing Address - Phone:509-540-7208
Mailing Address - Fax:509-351-2043
Practice Address - Street 1:425 E 8TH ST
Practice Address - Street 2:
Practice Address - City:WAITSBURG
Practice Address - State:WA
Practice Address - Zip Code:99361-9742
Practice Address - Country:US
Practice Address - Phone:509-540-7208
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-06-30
Last Update Date:2013-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAP60099171363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily