Provider Demographics
NPI:1144103854
Name:DASILVA, AMANDA JOSEPHINE
Entity type:Individual
Prefix:
First Name:AMANDA
Middle Name:JOSEPHINE
Last Name:DASILVA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:179 FIELD ST
Mailing Address - Street 2:
Mailing Address - City:BROCKTON
Mailing Address - State:MA
Mailing Address - Zip Code:02302-1609
Mailing Address - Country:US
Mailing Address - Phone:774-259-3904
Mailing Address - Fax:
Practice Address - Street 1:179 FIELD ST
Practice Address - Street 2:
Practice Address - City:BROCKTON
Practice Address - State:MA
Practice Address - Zip Code:02302-1609
Practice Address - Country:US
Practice Address - Phone:774-259-3904
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-29
Last Update Date:2025-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374J00000XNursing Service Related ProvidersDoulaGroup - Single Specialty