Provider Demographics
NPI:1730816737
Name:SILVA HARDIN, KAREN DEL ROSARIO
Entity type:Individual
Prefix:
First Name:KAREN
Middle Name:DEL ROSARIO
Last Name:SILVA HARDIN
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 1:290 W 1ST S
Mailing Address - Street 2:
Mailing Address - City:RIGBY
Mailing Address - State:ID
Mailing Address - Zip Code:83442-1318
Mailing Address - Country:US
Mailing Address - Phone:208-290-0217
Mailing Address - Fax:
Practice Address - Street 1:290 W 1ST S
Practice Address - Street 2:
Practice Address - City:RIGBY
Practice Address - State:ID
Practice Address - Zip Code:83442-1318
Practice Address - Country:US
Practice Address - Phone:208-290-0217
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-08-01
Last Update Date:2024-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant