Provider Demographics
NPI:1629454848
Name:SILVERMAN, NANCY (AGCNS)
Entity Type:Individual
Prefix:
First Name:NANCY
Middle Name:
Last Name:SILVERMAN
Suffix:
Gender:F
Credentials:AGCNS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3921 SHROYER RD
Mailing Address - Street 2:
Mailing Address - City:KETTERING
Mailing Address - State:OH
Mailing Address - Zip Code:45429-2821
Mailing Address - Country:US
Mailing Address - Phone:937-603-5368
Mailing Address - Fax:937-258-5478
Practice Address - Street 1:40 N MAIN ST
Practice Address - Street 2:STE 1360
Practice Address - City:DAYTON
Practice Address - State:OH
Practice Address - Zip Code:45423-1021
Practice Address - Country:US
Practice Address - Phone:937-252-2003
Practice Address - Fax:888-965-4549
Is Sole Proprietor?:No
Enumeration Date:2015-08-11
Last Update Date:2015-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHCOA.17879-NS364SG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SG0600XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistGerontology