Provider Demographics
NPI:1821797523
Name:SILVRANTS, LEX L (RN, SRNA)
Entity Type:Individual
Prefix:MR
First Name:LEX
Middle Name:L
Last Name:SILVRANTS
Suffix:
Gender:M
Credentials:RN, SRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:26817 E SANSON AVE
Mailing Address - Street 2:
Mailing Address - City:NEWMAN LAKE
Mailing Address - State:WA
Mailing Address - Zip Code:99025-8651
Mailing Address - Country:US
Mailing Address - Phone:509-220-0832
Mailing Address - Fax:
Practice Address - Street 1:26817 E SANSON AVE
Practice Address - Street 2:
Practice Address - City:NEWMAN LAKE
Practice Address - State:WA
Practice Address - Zip Code:99025-8651
Practice Address - Country:US
Practice Address - Phone:509-220-0832
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-03-01
Last Update Date:2023-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program