Desilva, Amy
Desilva, Amy is an individual health care provider with primary practice located at 500 Merrimack Street , Lawrence MA 01843-1740. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Desilva, Amy can be contacted via phone (978) 557-8800.Contact Information
Primary practice address
500 Merrimack Street
Lawrence MA 01843-1740
Phone: (978) 557-8800
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 106563 | Massachusetts |
Profile Details
| NPI number | 1184720153 |
|---|---|
| LBN Legal business name | Desilva, Amy |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 16th, 2006 |
| Last updated | Feb 28th, 2011 - about 13 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1184720153 | NPPES |
| Massachusetts | MEDICAID | 0706556 | |
| Massachusetts | Other | NP1455 |
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