Provider Demographics
NPI:1124141353
Name:SILVERMAN, MARY ANGELA (RN,MSN,CANP)
Entity type:Individual
Prefix:
First Name:MARY ANGELA
Middle Name:
Last Name:SILVERMAN
Suffix:
Gender:F
Credentials:RN,MSN,CANP
Other - Prefix:
Other - First Name:ANGELA
Other - Middle Name:M
Other - Last Name:SILVERMAN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:RN, CANP
Mailing Address - Street 1:18111 PRINCE PHILIP DR
Mailing Address - Street 2:SUITE 207
Mailing Address - City:OLNEY
Mailing Address - State:MD
Mailing Address - Zip Code:20832-1513
Mailing Address - Country:US
Mailing Address - Phone:301-573-8535
Mailing Address - Fax:301-570-8536
Practice Address - Street 1:18111 PRINCE PHILIP DR
Practice Address - Street 2:SUITE 207
Practice Address - City:OLNEY
Practice Address - State:MD
Practice Address - Zip Code:20832-1513
Practice Address - Country:US
Practice Address - Phone:301-573-8535
Practice Address - Fax:301-570-8536
Is Sole Proprietor?:No
Enumeration Date:2007-04-10
Last Update Date:2016-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCRN43752363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner