Provider Demographics
NPI:1083987317
Name:VIEL, AMBER GIESEL (NURSE PRACTITIONER)
Entity Type:Individual
Prefix:
First Name:AMBER
Middle Name:GIESEL
Last Name:VIEL
Suffix:
Gender:F
Credentials:NURSE PRACTITIONER
Other - Prefix:
Other - First Name:AMBER
Other - Middle Name:RAE
Other - Last Name:GIESEL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:NURSE PRACTITIONER
Mailing Address - Street 1:5430 CAMPBELL BLVD
Mailing Address - Street 2:SUITE 103
Mailing Address - City:WHITE MARSH
Mailing Address - State:MD
Mailing Address - Zip Code:21162-5500
Mailing Address - Country:US
Mailing Address - Phone:410-933-9404
Mailing Address - Fax:410-933-9405
Practice Address - Street 1:5430 CAMPBELL BLVD
Practice Address - Street 2:SUITE 103
Practice Address - City:WHITE MARSH
Practice Address - State:MD
Practice Address - Zip Code:21162-5500
Practice Address - Country:US
Practice Address - Phone:410-933-9404
Practice Address - Fax:410-933-9405
Is Sole Proprietor?:No
Enumeration Date:2012-02-16
Last Update Date:2013-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA20940363LF0000X
MDR187646363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily