Provider Demographics
NPI:1518658434
Name:SILVEIRA-D'AVILA, SABRINA MARCELA (NP)
Entity Type:Individual
Prefix:
First Name:SABRINA
Middle Name:MARCELA
Last Name:SILVEIRA-D'AVILA
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2555 MAIN ST APT 2109
Mailing Address - Street 2:
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92614-3221
Mailing Address - Country:US
Mailing Address - Phone:626-376-0182
Mailing Address - Fax:
Practice Address - Street 1:11100 WARNER AVE STE 354
Practice Address - Street 2:
Practice Address - City:FOUNTAIN VALLEY
Practice Address - State:CA
Practice Address - Zip Code:92708-7513
Practice Address - Country:US
Practice Address - Phone:626-376-0182
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-05-19
Last Update Date:2023-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95021758363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care