Provider Demographics
NPI:1982089090
Name:SILVAS, BETHANY JOY (ARNP)
Entity Type:Individual
Prefix:
First Name:BETHANY
Middle Name:JOY
Last Name:SILVAS
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:229 SEBASTIAN BLVD
Mailing Address - Street 2:
Mailing Address - City:SEBASTIAN
Mailing Address - State:FL
Mailing Address - Zip Code:32958-4616
Mailing Address - Country:US
Mailing Address - Phone:772-581-0016
Mailing Address - Fax:772-581-1198
Practice Address - Street 1:229 SEBASTIAN BLVD
Practice Address - Street 2:
Practice Address - City:SEBASTIAN
Practice Address - State:FL
Practice Address - Zip Code:32958-4616
Practice Address - Country:US
Practice Address - Phone:772-581-0016
Practice Address - Fax:772-581-1198
Is Sole Proprietor?:No
Enumeration Date:2015-07-30
Last Update Date:2015-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL9343607363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily