Provider Demographics
NPI:1215454863
Name:DASILVA, EMILY MACKEY (APRN)
Entity type:Individual
Prefix:MS
First Name:EMILY
Middle Name:MACKEY
Last Name:DASILVA
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:220 FARMINGTON AVE STE 2
Mailing Address - Street 2:
Mailing Address - City:FARMINGTON
Mailing Address - State:CT
Mailing Address - Zip Code:06032-1949
Mailing Address - Country:US
Mailing Address - Phone:203-883-0038
Mailing Address - Fax:203-724-4838
Practice Address - Street 1:220 FARMINGTON AVE
Practice Address - Street 2:
Practice Address - City:FARMINGTON
Practice Address - State:CT
Practice Address - Zip Code:06032-1949
Practice Address - Country:US
Practice Address - Phone:203-883-0038
Practice Address - Fax:203-724-4838
Is Sole Proprietor?:No
Enumeration Date:2017-08-24
Last Update Date:2023-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT7225363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care