Provider Demographics
NPI:1790278232
Name:SILVA, CHRISTIE JOANNE (FNP-C)
Entity Type:Individual
Prefix:
First Name:CHRISTIE
Middle Name:JOANNE
Last Name:SILVA
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:CHRISTIE
Other - Middle Name:JOANNE
Other - Last Name:SILVA
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:FNP-C
Mailing Address - Street 1:222 W HENDERSON AVE
Mailing Address - Street 2:
Mailing Address - City:PORTERVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:93257-1731
Mailing Address - Country:US
Mailing Address - Phone:559-827-3085
Mailing Address - Fax:
Practice Address - Street 1:222 W HENDERSON AVE
Practice Address - Street 2:
Practice Address - City:PORTERVILLE
Practice Address - State:CA
Practice Address - Zip Code:93257-1731
Practice Address - Country:US
Practice Address - Phone:559-784-5483
Practice Address - Fax:559-784-5433
Is Sole Proprietor?:Yes
Enumeration Date:2018-06-09
Last Update Date:2019-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA500469163WC1500X
CANP95010880363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163WC1500XNursing Service ProvidersRegistered NurseCommunity Health