Provider Demographics
NPI:1659731354
Name:MICHAEL, SILVANA (MSN, RN, IBCLC)
Entity Type:Individual
Prefix:
First Name:SILVANA
Middle Name:
Last Name:MICHAEL
Suffix:
Gender:F
Credentials:MSN, RN, IBCLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18 CRYSTAL DR
Mailing Address - Street 2:
Mailing Address - City:SOUTHWICK
Mailing Address - State:MA
Mailing Address - Zip Code:01077-9613
Mailing Address - Country:US
Mailing Address - Phone:413-883-5534
Mailing Address - Fax:
Practice Address - Street 1:18 CRYSTAL DR
Practice Address - Street 2:
Practice Address - City:SOUTHWICK
Practice Address - State:MA
Practice Address - Zip Code:01077-9613
Practice Address - Country:US
Practice Address - Phone:413-883-5534
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-02-24
Last Update Date:2016-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MARN216982163WL0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WL0100XNursing Service ProvidersRegistered NurseLactation Consultant