Provider Demographics
NPI:1710418025
Name:NAVARRETE, SILVIA RAQUEL (NP)
Entity Type:Individual
Prefix:
First Name:SILVIA
Middle Name:RAQUEL
Last Name:NAVARRETE
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1452
Mailing Address - Street 2:
Mailing Address - City:PASCO
Mailing Address - State:WA
Mailing Address - Zip Code:99301
Mailing Address - Country:US
Mailing Address - Phone:509-547-2204
Mailing Address - Fax:509-546-7761
Practice Address - Street 1:3180 W CLEARWATER STREET SUITE A
Practice Address - Street 2:
Practice Address - City:KENNEWICK
Practice Address - State:WA
Practice Address - Zip Code:99336-1156
Practice Address - Country:US
Practice Address - Phone:509-547-2204
Practice Address - Fax:509-546-7761
Is Sole Proprietor?:No
Enumeration Date:2017-03-27
Last Update Date:2020-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP9342846363LP2300X
AZAP10073363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care