Provider Demographics
NPI:1306737986
Name:MOO, SILVER
Entity type:Individual
Prefix:
First Name:SILVER
Middle Name:
Last Name:MOO
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 1:4911 N 64TH ST
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68104-1908
Mailing Address - Country:US
Mailing Address - Phone:402-609-6645
Mailing Address - Fax:
Practice Address - Street 1:1847 TIMBER RIDGE RD
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68522-9162
Practice Address - Country:US
Practice Address - Phone:402-570-7933
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-11
Last Update Date:2025-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant