Doctor Name: | MAUREEN CALLAHAN SILVERNALE |
NPI Number: | 1366558173 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | FNP-C |
License Number: | 201046 |
Business Practice Address: | 624 W Main St Yadkinville, NC - 270557804 |
Business Phone Number: | 3366792041 |
Business Fax Number: | 3366796752 |
Mailing Address: | Po Box 2413, YADKINVILLE |
State: | NC |
Postal Code: | 270552413 |
Phone Number: | 3364089704 |
Fax Number: | 3366796752 |
NPI Enumeration Date: | 08/22/2006 |
NPI Last Update Date: | 01/09/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 201046 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |