Provider Demographics
NPI:1285102509
Name:SILVER, DEYSHAWN D
Entity type:Individual
Prefix:
First Name:DEYSHAWN
Middle Name:D
Last Name:SILVER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11504 ALMA ST
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20902-2902
Mailing Address - Country:US
Mailing Address - Phone:202-469-0579
Mailing Address - Fax:
Practice Address - Street 1:1326 FARRAGUT ST NW
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20011-6908
Practice Address - Country:US
Practice Address - Phone:202-830-4779
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-11-05
Last Update Date:2018-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant