Doctor Name: | KATHLEEN M VIEYRA |
NPI Number: | 1508134032 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | A.R.N.P. |
License Number: | ARNP 9260227 |
Business Practice Address: | 400 Kings Point Dr Apt. 304 Sunny Isles Beach, FL - 331604776 |
Business Phone Number: | 7868534388 |
Business Fax Number: | |
Mailing Address: | 400 Kings Point Dr, Apt. 304 SUNNY ISLES BEACH |
State: | FL |
Postal Code: | 331604776 |
Phone Number: | 7868534388 |
Fax Number: | |
NPI Enumeration Date: | 12/12/2011 |
NPI Last Update Date: | 12/12/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | ARNP 9260227 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |