Provider Demographics
NPI:1639165756
Name:SILVA-SMITH, AMY LYNNE (PHD APRN BC ANP)
Entity Type:Individual
Prefix:PROF
First Name:AMY
Middle Name:LYNNE
Last Name:SILVA-SMITH
Suffix:
Gender:F
Credentials:PHD APRN BC ANP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:711 SCORPIO CIR
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80906-1041
Mailing Address - Country:US
Mailing Address - Phone:719-282-1818
Mailing Address - Fax:
Practice Address - Street 1:4547 PALISADES PARK VIEW
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80906
Practice Address - Country:US
Practice Address - Phone:719-226-2273
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-09-23
Last Update Date:2008-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO167185363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health