Provider Demographics
NPI:1942845243
Name:SILVERIO, NICOLETTE JANE (FNP)
Entity Type:Individual
Prefix:
First Name:NICOLETTE
Middle Name:JANE
Last Name:SILVERIO
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:NICOLETTE
Other - Middle Name:JANE
Other - Last Name:WEIL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:515 N 3RD ST
Mailing Address - Street 2:
Mailing Address - City:LONGVIEW
Mailing Address - State:TX
Mailing Address - Zip Code:75601-6546
Mailing Address - Country:US
Mailing Address - Phone:903-475-2713
Mailing Address - Fax:903-942-2930
Practice Address - Street 1:6116 WILSHIRE DR
Practice Address - Street 2:
Practice Address - City:TYLER
Practice Address - State:TX
Practice Address - Zip Code:75703-4160
Practice Address - Country:US
Practice Address - Phone:903-360-3719
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-11-10
Last Update Date:2023-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP143768363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily