Provider Demographics
NPI:1538917828
Name:SILBURN, ANNMARIE ANTOINETTE (LPN)
Entity type:Individual
Prefix:MS
First Name:ANNMARIE
Middle Name:ANTOINETTE
Last Name:SILBURN
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:AANTOINETTE
Other - Middle Name:
Other - Last Name:SILBURN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:15 ARGYLE PL
Mailing Address - Street 2:
Mailing Address - City:CORTLAND
Mailing Address - State:NY
Mailing Address - Zip Code:13045-2928
Mailing Address - Country:US
Mailing Address - Phone:607-345-0090
Mailing Address - Fax:
Practice Address - Street 1:15 ARGYLE PL
Practice Address - Street 2:
Practice Address - City:CORTLAND
Practice Address - State:NY
Practice Address - Zip Code:13045-2928
Practice Address - Country:US
Practice Address - Phone:607-345-0090
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-05-10
Last Update Date:2024-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY262495-01164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse