Individual
MARTHA MCCART SILVIDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
333 S MADISON ST, MUNCIE, IN 47305-2465
(765) 286-7000
(765) 213-2769
Mailing address
333 S MADISON ST, MUNCIE, IN 47305-2465
(765) 286-7000
(765) 213-2769
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
28111528A
IN
364SF0001X
Family Health Clinical Nurse Specialist
71004750A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201188620
—
IN
01
—
466980008
MEDICARE PTAN
IN
Enumeration date
09/19/2013
Last updated
06/22/2016
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