Individual
VIRLANA JOHNSON-SILVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.-C.
Contact information
Practice address
21045 N 9TH PL, SUITE 205, PHOENIX, AZ 85024-5634
(866) 465-4881
Mailing address
20896 N 88TH LN, PEORIA, AZ 85382
(480) 272-2217
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
2464
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
561127
—
AZ
01
—
86080015085259A677
TRIWEST
AZ
01
—
970019070
RAILROAD MEDICARE
AZ
Enumeration date
11/28/2005
Last updated
01/19/2016
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