Stacey Renee Vierra, PA-C
NPI #1952541716 in Kirtland Afb, New Mexico
Provider Information
- NPI Number
- 1952541716
- Entity Type
- Individual
- Name
- Stacey Renee Vierra, PA-C
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Physician Assistant
- Credential
- PA-C
- Enumeration Date
- Mar 5, 2009
- Last Updated
- Mar 31, 2021
Practice Location
- Address
- 2050A 2ND ST SE
- City
- Kirtland Afb
- State
- New Mexico
- ZIP Code
- 87117-5522
- Phone
- (505) 846-3200
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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