Provider Demographics
NPI:1194600171
Name:EASLER-SILVA, LYNETTE ELIZABETH (NURSE PRACTITIONER)
Entity type:Individual
Prefix:
First Name:LYNETTE
Middle Name:ELIZABETH
Last Name:EASLER-SILVA
Suffix:
Gender:F
Credentials:NURSE PRACTITIONER
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:23710 BLACK CANYON DR
Mailing Address - Street 2:
Mailing Address - City:MENIFEE
Mailing Address - State:CA
Mailing Address - Zip Code:92587-7253
Mailing Address - Country:US
Mailing Address - Phone:951-691-9406
Mailing Address - Fax:
Practice Address - Street 1:1582 W SAN MARCOS BLVD STE 100
Practice Address - Street 2:
Practice Address - City:SAN MARCOS
Practice Address - State:CA
Practice Address - Zip Code:92078-4081
Practice Address - Country:US
Practice Address - Phone:951-691-9406
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-08
Last Update Date:2025-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95036110207QA0505X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QA0505XAllopathic & Osteopathic PhysiciansFamily MedicineAdult Medicine