Individual
AMY DESILVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
500 MERRIMACK STREET, LAWRENCE, MA 01843-1740
(978) 557-8800
Mailing address
500 MERRIMACK STREET, LAWRENCE, MA 01843-1740
(978) 557-8800
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
106563
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0706556
—
MA
01
—
NP1455
B/S OF MA
MA
Enumeration date
09/16/2006
Last updated
02/28/2011
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