Basic Information
| Provider Information | |||||||||
| NPI: | 1891413589 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | SILVESTRI-ELMORE | ||||||||
| FirstName: | KATHERINE | ||||||||
| MiddleName: | MARY | ||||||||
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| Mailing Information | |||||||||
| Address1: | 246 DEDICATION AVE | ||||||||
| Address2: | |||||||||
| City: | HENDERSON | ||||||||
| State: | NV | ||||||||
| PostalCode: | 890115497 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4136686226 | ||||||||
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| Practice Location | |||||||||
| Address1: | 4505 S MARYLAND PKWY | ||||||||
| Address2: | |||||||||
| City: | LAS VEGAS | ||||||||
| State: | NV | ||||||||
| PostalCode: | 891549900 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7028953370 | ||||||||
| FaxNumber: | 7028954316 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/18/2022 | ||||||||
| LastUpdateDate: | 08/18/2022 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 08/18/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207QA0505X | APRN851607 | NV | Y | Allopathic & Osteopathic Physicians | Family Medicine | Adult Medicine |
No ID Information.