Vierra, Stacey Renee
Vierra, Stacey Renee is an sole proprietor health care provider with primary practice located at 2050A 2Nd St Se , Kirtland Afb NM 87117-5522. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Vierra, Stacey Renee can be contacted via phone (505) 846-3200.Contact Information
Primary practice address
2050A 2Nd St Se
Kirtland Afb NM 87117-5522
Phone: (505) 846-3200
Fax: (406) 731-2691
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X |
Profile Details
| NPI number | 1952541716 |
|---|---|
| LBN Legal business name | Vierra, Stacey Renee |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 5th, 2009 |
| Last updated | Mar 31st, 2021 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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