Provider Demographics
NPI:1902949753
Name:SILVA, TORI LOU (RN)
Entity Type:Individual
Prefix:MRS
First Name:TORI
Middle Name:LOU
Last Name:SILVA
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 1:3692 E MOHAWK DR
Mailing Address - Street 2:
Mailing Address - City:SIERRA VISTA
Mailing Address - State:AZ
Mailing Address - Zip Code:85650-8956
Mailing Address - Country:US
Mailing Address - Phone:520-515-2878
Mailing Address - Fax:520-515-2877
Practice Address - Street 1:3692 E MOHAWK DR
Practice Address - Street 2:
Practice Address - City:SIERRA VISTA
Practice Address - State:AZ
Practice Address - Zip Code:85650-8956
Practice Address - Country:US
Practice Address - Phone:520-515-2878
Practice Address - Fax:520-515-2877
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZRN062161163WS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WS0200XNursing Service ProvidersRegistered NurseSchool