Provider Demographics
NPI:1124325725
Name:SILVATI, TERA ELIZABETH (RN)
Entity type:Individual
Prefix:
First Name:TERA
Middle Name:ELIZABETH
Last Name:SILVATI
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4281 DEFENDER DR
Mailing Address - Street 2:#302
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45252-2303
Mailing Address - Country:US
Mailing Address - Phone:513-426-4510
Mailing Address - Fax:
Practice Address - Street 1:4281 DEFENDER DR
Practice Address - Street 2:#302
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45252-2303
Practice Address - Country:US
Practice Address - Phone:513-426-4510
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-02-16
Last Update Date:2011-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN-355114163W00000X, 163WH0200X, 163WI0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health
No163W00000XNursing Service ProvidersRegistered Nurse
No163WI0500XNursing Service ProvidersRegistered NurseInfusion Therapy
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHRN-355114OtherRN