Provider Demographics
NPI:1275006769
Name:VIERNEZA, FIONA (MSN, FNP-C)
Entity Type:Individual
Prefix:
First Name:FIONA
Middle Name:
Last Name:VIERNEZA
Suffix:
Gender:F
Credentials:MSN, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:27 BORTIC RD
Mailing Address - Street 2:
Mailing Address - City:CEDAR GROVE
Mailing Address - State:NJ
Mailing Address - Zip Code:07009-1219
Mailing Address - Country:US
Mailing Address - Phone:201-674-5209
Mailing Address - Fax:
Practice Address - Street 1:27 BORTIC RD
Practice Address - Street 2:
Practice Address - City:CEDAR GROVE
Practice Address - State:NJ
Practice Address - Zip Code:07009-1219
Practice Address - Country:US
Practice Address - Phone:201-674-5209
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-01-07
Last Update Date:2019-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF343875-1363LF0000X
NJ26NJ00873500363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily