Provider Demographics
NPI:1114730173
Name:SILVA BLANCO, YERANDY (RN)
Entity type:Individual
Prefix:
First Name:YERANDY
Middle Name:
Last Name:SILVA BLANCO
Suffix:
Gender:M
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2211 GARDEN ARBOR LN
Mailing Address - Street 2:
Mailing Address - City:TOMBALL
Mailing Address - State:TX
Mailing Address - Zip Code:77375-3534
Mailing Address - Country:US
Mailing Address - Phone:346-714-0520
Mailing Address - Fax:
Practice Address - Street 1:2211 GARDEN ARBOR LN
Practice Address - Street 2:
Practice Address - City:TOMBALL
Practice Address - State:TX
Practice Address - Zip Code:77375-3534
Practice Address - Country:US
Practice Address - Phone:346-714-0520
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-31
Last Update Date:2025-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1183724163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163W00000XNursing Service ProvidersRegistered NurseGroup - Single Specialty