Provider Demographics
NPI:1881406890
Name:SILVA, ASHTYN (CPM, LTM)
Entity type:Individual
Prefix:MS
First Name:ASHTYN
Middle Name:
Last Name:SILVA
Suffix:
Gender:F
Credentials:CPM, LTM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:467 SUNSET DRIVE
Mailing Address - Street 2:
Mailing Address - City:JORDAN
Mailing Address - State:MN
Mailing Address - Zip Code:55352
Mailing Address - Country:US
Mailing Address - Phone:651-343-7187
Mailing Address - Fax:
Practice Address - Street 1:467 SUNSET DRIVE
Practice Address - Street 2:
Practice Address - City:JORDAN
Practice Address - State:MN
Practice Address - Zip Code:55352
Practice Address - Country:US
Practice Address - Phone:651-343-7187
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-25
Last Update Date:2025-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN1111176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife