Organization Name: | SILVIA FRADKIN ARNP PS |
NPI Number: | 1558401687 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | SILVIA FRADKININ (CHIEF OFFICER) |
Mailing Address: | 6512 20th Street Ct W Ste C Fircrest |
State: | WA US |
Postal Code: | 984666212 |
Phone Number: | 2534590295 |
Fax Number: | 2535655899 |
NPI Enumeration Date: | 02/07/2007 |
NPI Last Update Date: | 10/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LP0808X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Psych/Mental Health |
Taxonomy Definition: |