Individual
MARY FORTUNA-SILVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
33 STANIFORD ST, PROVIDENCE, RI 02905-3105
(401) 421-8800
(401) 273-6510
Mailing address
33 STANIFORD ST, PROVIDENCE, RI 02905-3105
(401) 421-8800
(401) 273-6510
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
APRN00530
RI
363LF0000X
Family Nurse Practitioner
Primary
37227
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7010603
—
RI
05
—
PA27127
—
RI
Enumeration date
11/10/2006
Last updated
03/25/2026
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