Basic Information
Provider Information
NPI: 1700228905
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SILVER
FirstName: MOLLY
MiddleName: CAROLINE
NamePrefix: MRS.
NameSuffix:  
Credential: APRN
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 8222 BELL RD
Address2:  
City: LENEXA
State: KS
PostalCode: 662191632
CountryCode: US
TelephoneNumber: 9137107047
FaxNumber:  
Practice Location
Address1: 2330 SHAWNEE MISSION PKWY
Address2:  
City: WESTWOOD
State: KS
PostalCode: 662052005
CountryCode: US
TelephoneNumber: 9135885000
FaxNumber:  
Other Information
ProviderEnumerationDate: 07/29/2013
LastUpdateDate: 03/09/2017
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363LF0000X104428KSY Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily

No ID Information.


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