| Stacey Renee Vierra, PA-C | |
|
2050a 2nd St Se, Kirtland Afb, NM 87117-5522 | |
| (505) 846-3200 | |
| (406) 731-2691 |
| Full Name | Stacey Renee Vierra |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 2050a 2nd St Se, Kirtland Afb, New Mexico |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952541716 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Stacey Renee Vierra, PA-C 2050a 2nd St Se, Kirtland Afb, NM 87117-5522 Ph: (505) 846-3200 | Stacey Renee Vierra, PA-C 2050a 2nd St Se, Kirtland Afb, NM 87117-5522 Ph: (505) 846-3200 |
Joshua David Wood, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2050a 2nd St Se, Kirtland Afb, NM 87117 Phone: 720-695-7889 | |
Curtis Jason Howell, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2050 A Second St Se, Kirtland Afb, NM 87117 Phone: 505-846-3200 | |
Fernando Hernandez Moran, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2050a 2nd St Se, Kirtland Afb, NM 87117 Phone: 505-846-3200 |