Provider Demographics
NPI:1962505339
Name:SILVERMAN, SARA R (APRN MSN PFNP RY3)
Entity Type:Individual
Prefix:
First Name:SARA
Middle Name:R
Last Name:SILVERMAN
Suffix:
Gender:F
Credentials:APRN MSN PFNP RY3
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Other - First Name:
Other - Middle Name:
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Mailing Address - Street 1:6600 KALANIANAOLE HWY
Mailing Address - Street 2:#225
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96825-1281
Mailing Address - Country:US
Mailing Address - Phone:808-394-2800
Mailing Address - Fax:808-394-2826
Practice Address - Street 1:6600 KALANIANAOLE HWY
Practice Address - Street 2:#225
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96825-1281
Practice Address - Country:US
Practice Address - Phone:808-394-2800
Practice Address - Fax:808-394-2826
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-07
Last Update Date:2008-05-31
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
HIAPRN00069364SP0808X
HIRN44359364SP0808X
HIRX3364SP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SP0808XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistPsychiatric/Mental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
HI089209Medicaid
HI246553OtherHMSA
HI08920900OtherALOHA CARE
HI089209Medicaid
HI246553OtherHMSA
HIH51279Medicare PIN