Provider Demographics
NPI:1871871103
Name:GEORGE, SILVI (NP-C)
Entity type:Individual
Prefix:
First Name:SILVI
Middle Name:
Last Name:GEORGE
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20 BROOKSIDE DR
Mailing Address - Street 2:APT # 1 J
Mailing Address - City:GREENWICH
Mailing Address - State:CT
Mailing Address - Zip Code:06830-6404
Mailing Address - Country:US
Mailing Address - Phone:203-769-5073
Mailing Address - Fax:732-626-4202
Practice Address - Street 1:23 MAPLE AVE
Practice Address - Street 2:
Practice Address - City:GREENWICH
Practice Address - State:CT
Practice Address - Zip Code:06830-5620
Practice Address - Country:US
Practice Address - Phone:203-869-0451
Practice Address - Fax:212-918-9394
Is Sole Proprietor?:No
Enumeration Date:2011-08-03
Last Update Date:2011-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT4718363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily