Kim Da Silva, FNP, RN

Individual provider Active NPI Family Nurse Practitioner · Uxbridge, MA

NPI 1093045650 · NPPES record last updated Mar 28, 2016

Key facts

NPI
1093045650
Entity type
Individual (NPI type 1)
Primary specialty
Family Nurse Practitioner 363LF0000X
License
RN2263026 (MA)
Practice address
323 N Main St
Uxbridge, MA 01569-1757
Phone
(508) 852-1805
Fax
(508) 853-8593
NPI assigned
Jan 5, 2010
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Registered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN2263026 MA Yes
Registered Nurse 163W00000X RN2263026 MA
Nurse Practitioner 363L00000X RN2263026 MA

Addresses

Primary practice location

323 N Main St
Uxbridge, MA 01569-1757

Mailing address

19 Tacoma St
Worcester, MA 01605-3516
Phone (508) 852-1805

Other identifiers

IdentifierTypeStateIssuer
1301071OtherMAGROUP MEDICAID NUMBER

Other providers in Uxbridge, MA

All providers in Uxbridge, MA · Family Nurse Practitioner in Massachusetts

Sources for this page

Verify at the official NPI Registry.