Provider Demographics
NPI:1588230940
Name:FISCHER SILVA, ANNE J
Entity Type:Individual
Prefix:
First Name:ANNE
Middle Name:J
Last Name:FISCHER SILVA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10408 SCENIC DR
Mailing Address - Street 2:
Mailing Address - City:FORESTVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:95436-9331
Mailing Address - Country:US
Mailing Address - Phone:707-849-3569
Mailing Address - Fax:
Practice Address - Street 1:10408 SCENIC DR
Practice Address - Street 2:
Practice Address - City:FORESTVILLE
Practice Address - State:CA
Practice Address - Zip Code:95436-9331
Practice Address - Country:US
Practice Address - Phone:707-849-3569
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-05-27
Last Update Date:2021-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA