Provider Demographics
NPI:1821576141
Name:DA SILVA, AMIE (NP)
Entity Type:Individual
Prefix:
First Name:AMIE
Middle Name:
Last Name:DA SILVA
Suffix:
Gender:F
Credentials:NP
Other - Prefix:MS
Other - First Name:AMIE
Other - Middle Name:
Other - Last Name:SANKOH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1145 19TH ST NW STE 501
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20036-3741
Mailing Address - Country:US
Mailing Address - Phone:202-835-2225
Mailing Address - Fax:
Practice Address - Street 1:5724 EDGE AVENUE
Practice Address - Street 2:
Practice Address - City:LANHAM
Practice Address - State:MD
Practice Address - Zip Code:20706
Practice Address - Country:US
Practice Address - Phone:301-613-5047
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-07-30
Last Update Date:2018-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCRN1015652363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily