Provider Demographics
NPI:1609179480
Name:COX-VIEIRA, DELLA K (RN)
Entity Type:Individual
Prefix:MS
First Name:DELLA
Middle Name:K
Last Name:COX-VIEIRA
Suffix:
Gender:F
Credentials:RN
Other - Prefix:MS
Other - First Name:DELLA
Other - Middle Name:
Other - Last Name:VIEIRA
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:8900 INDEPENDENCE WAY
Mailing Address - Street 2:SUITE B
Mailing Address - City:ALAMOSA
Mailing Address - State:CO
Mailing Address - Zip Code:81101-9412
Mailing Address - Country:US
Mailing Address - Phone:719-589-6639
Mailing Address - Fax:719-589-1103
Practice Address - Street 1:8900 INDEPENDENCE WAY
Practice Address - Street 2:SUITE B
Practice Address - City:ALAMOSA
Practice Address - State:CO
Practice Address - Zip Code:81101-9412
Practice Address - Country:US
Practice Address - Phone:719-589-6639
Practice Address - Fax:719-589-1103
Is Sole Proprietor?:No
Enumeration Date:2010-12-16
Last Update Date:2016-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO169624163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse