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Individual
MARY L DISILVA
Active
Individual
MARY L DISILVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
SP007091
PA
363LF0000X
Family Nurse Practitioner
Primary
SP008809
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
265946
RN LICENSE
OH
01
—
NP05308
OHIO NP LICENSE
OH
Enumeration date
02/28/2006
Last updated
05/10/2017
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