Provider Demographics
NPI:1992860100
Name:SILVA, LINDA A (PA-C)
Entity Type:Individual
Prefix:MS
First Name:LINDA
Middle Name:A
Last Name:SILVA
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
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Mailing Address - Street 1:1137 W KELLY LN
Mailing Address - Street 2:
Mailing Address - City:TEMPE
Mailing Address - State:AZ
Mailing Address - Zip Code:85284-3771
Mailing Address - Country:US
Mailing Address - Phone:480-961-9339
Mailing Address - Fax:480-961-9339
Practice Address - Street 1:1450 S DOBSON RD
Practice Address - Street 2:320B
Practice Address - City:MESA
Practice Address - State:AZ
Practice Address - Zip Code:85202-4712
Practice Address - Country:US
Practice Address - Phone:480-835-9755
Practice Address - Fax:480-964-8668
Is Sole Proprietor?:No
Enumeration Date:2006-12-27
Last Update Date:2017-04-06
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
AZ2517363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZZ164780Medicare PIN