Provider Demographics
NPI:1558401687
Name:SILVIA FRADKIN ARNP PS
Entity Type:Organization
Organization Name:SILVIA FRADKIN ARNP PS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF OFFICER
Authorized Official - Prefix:MS
Authorized Official - First Name:SILVIA
Authorized Official - Middle Name:
Authorized Official - Last Name:FRADKININ
Authorized Official - Suffix:
Authorized Official - Credentials:ARNP
Authorized Official - Phone:253-459-0295
Mailing Address - Street 1:2025 NARROWS VIEW CIR NW APT D134
Mailing Address - Street 2:
Mailing Address - City:GIG HARBOR
Mailing Address - State:WA
Mailing Address - Zip Code:98335-6815
Mailing Address - Country:US
Mailing Address - Phone:253-514-8562
Mailing Address - Fax:253-565-5899
Practice Address - Street 1:6512 20TH STREET CT W STE C
Practice Address - Street 2:
Practice Address - City:FIRCREST
Practice Address - State:WA
Practice Address - Zip Code:98466-6212
Practice Address - Country:US
Practice Address - Phone:253-459-0295
Practice Address - Fax:253-565-5899
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-07
Last Update Date:2007-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty