Provider Demographics
NPI:1588808042
Name:OELSNER O. VIERA, MSN, ARNP, P.A.
Entity Type:Organization
Organization Name:OELSNER O. VIERA, MSN, ARNP, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:OELSNER
Authorized Official - Middle Name:O
Authorized Official - Last Name:VIERA
Authorized Official - Suffix:
Authorized Official - Credentials:ARNP
Authorized Official - Phone:305-389-0212
Mailing Address - Street 1:PO BOX 772556
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33177-0043
Mailing Address - Country:US
Mailing Address - Phone:305-389-0212
Mailing Address - Fax:305-328-9659
Practice Address - Street 1:11140 SW 88TH ST
Practice Address - Street 2:SUITE 100
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33176-0901
Practice Address - Country:US
Practice Address - Phone:305-270-1006
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-04-28
Last Update Date:2014-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP3398622363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute CareGroup - Single Specialty