Provider Demographics
NPI:1578964946
Name:VIEYRA, ABIGAIL J
Entity Type:Individual
Prefix:MRS
First Name:ABIGAIL
Middle Name:J
Last Name:VIEYRA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:26169 W HIGHWAY 30
Mailing Address - Street 2:
Mailing Address - City:HERSHEY
Mailing Address - State:NE
Mailing Address - Zip Code:69143-5329
Mailing Address - Country:US
Mailing Address - Phone:308-636-8182
Mailing Address - Fax:
Practice Address - Street 1:811 WILLIAM AVE
Practice Address - Street 2:
Practice Address - City:NORTH PLATTE
Practice Address - State:NE
Practice Address - Zip Code:69101-6556
Practice Address - Country:US
Practice Address - Phone:308-696-2273
Practice Address - Fax:308-696-2279
Is Sole Proprietor?:No
Enumeration Date:2014-09-04
Last Update Date:2014-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE111765363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily