Provider Demographics
NPI:1598902785
Name:SILVESTRI, SAMUEL EDWARD (RN, C)
Entity Type:Individual
Prefix:MR
First Name:SAMUEL
Middle Name:EDWARD
Last Name:SILVESTRI
Suffix:
Gender:M
Credentials:RN, C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:341 POLAND AVE
Mailing Address - Street 2:
Mailing Address - City:STRUTHERS
Mailing Address - State:OH
Mailing Address - Zip Code:44471-1675
Mailing Address - Country:US
Mailing Address - Phone:330-402-4851
Mailing Address - Fax:330-755-7671
Practice Address - Street 1:341 POLAND AVE
Practice Address - Street 2:
Practice Address - City:STRUTHERS
Practice Address - State:OH
Practice Address - Zip Code:44471-1675
Practice Address - Country:US
Practice Address - Phone:330-402-4851
Practice Address - Fax:330-755-7671
Is Sole Proprietor?:Yes
Enumeration Date:2009-01-09
Last Update Date:2009-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN259113163W00000X, 163WC0400X, 163WG0000X, 163WH0200X, 163WH1000X, 163WI0500X, 163WM0102X, 163WM0705X, 163WN0003X, 163WW0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WG0000XNursing Service ProvidersRegistered NurseGeneral Practice
No163W00000XNursing Service ProvidersRegistered Nurse
No163WC0400XNursing Service ProvidersRegistered NurseCase Management
No163WH0200XNursing Service ProvidersRegistered NurseHome Health
No163WH1000XNursing Service ProvidersRegistered NurseHospice
No163WI0500XNursing Service ProvidersRegistered NurseInfusion Therapy
No163WM0102XNursing Service ProvidersRegistered NurseMaternal Newborn
No163WM0705XNursing Service ProvidersRegistered NurseMedical-Surgical
No163WN0003XNursing Service ProvidersRegistered NurseNeonatal, Low-Risk
No163WW0000XNursing Service ProvidersRegistered NurseWound Care