Provider Demographics
NPI:1649500356
Name:DASILVA, DIANA MARIA (FNP-BC)
Entity type:Individual
Prefix:MS
First Name:DIANA
Middle Name:MARIA
Last Name:DASILVA
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:DIANA
Other - Middle Name:MARIA
Other - Last Name:ROGERS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:FNP-BC
Mailing Address - Street 1:23 ACORN ST
Mailing Address - Street 2:
Mailing Address - City:STATEN ISLAND
Mailing Address - State:NY
Mailing Address - Zip Code:10306-4009
Mailing Address - Country:US
Mailing Address - Phone:347-631-7113
Mailing Address - Fax:
Practice Address - Street 1:8 THE GRN STE B
Practice Address - Street 2:
Practice Address - City:DOVER
Practice Address - State:DE
Practice Address - Zip Code:19901-3618
Practice Address - Country:US
Practice Address - Phone:347-631-7113
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-12-30
Last Update Date:2025-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF3361351363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily