Provider Demographics
NPI:1144052242
Name:DASILVA, LILLIAN NYAWIRA
Entity type:Individual
Prefix:
First Name:LILLIAN
Middle Name:NYAWIRA
Last Name:DASILVA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:LILLIAN
Other - Middle Name:N
Other - Last Name:DASILVA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LINDAHL, RN
Mailing Address - Street 1:1720 S CYPRESS ST APT 101
Mailing Address - Street 2:
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67207-5585
Mailing Address - Country:US
Mailing Address - Phone:316-559-8986
Mailing Address - Fax:
Practice Address - Street 1:1720 S CYPRESS ST APT 101
Practice Address - Street 2:
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67207-5585
Practice Address - Country:US
Practice Address - Phone:316-990-2482
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-08-16
Last Update Date:2024-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS5383480012363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health