Provider Demographics
NPI:1770814659
Name:SILVERARC APN
Entity Type:Organization
Organization Name:SILVERARC APN
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:APRN
Authorized Official - Prefix:
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:J
Authorized Official - Last Name:KAPSAR
Authorized Official - Suffix:JR
Authorized Official - Credentials:RN MSN
Authorized Official - Phone:702-575-2173
Mailing Address - Street 1:2605 DIAMANTE CT
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89121-5235
Mailing Address - Country:US
Mailing Address - Phone:702-575-2173
Mailing Address - Fax:702-369-0018
Practice Address - Street 1:501 S RANCHO DR
Practice Address - Street 2:SUITE H50
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89106-4828
Practice Address - Country:US
Practice Address - Phone:702-575-2173
Practice Address - Fax:702-479-1769
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-01-17
Last Update Date:2014-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Multi-Specialty