Provider Demographics
NPI:1932891454
Name:FREYRE, SILVIA IRSA (RN)
Entity Type:Individual
Prefix:
First Name:SILVIA
Middle Name:IRSA
Last Name:FREYRE
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:627 ANDREW HILL RD
Mailing Address - Street 2:
Mailing Address - City:ARNOLD
Mailing Address - State:MD
Mailing Address - Zip Code:21012-2087
Mailing Address - Country:US
Mailing Address - Phone:443-758-4975
Mailing Address - Fax:
Practice Address - Street 1:900 S. CATON AVE
Practice Address - Street 2:DEPAUL BLDG
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21229
Practice Address - Country:US
Practice Address - Phone:443-240-7809
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-05-23
Last Update Date:2023-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR199697163WD0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WD0400XNursing Service ProvidersRegistered NurseDiabetes Educator