Provider Demographics
NPI:1629488325
Name:VIEIRA-RIBEIRO, ADRIANO (RN)
Entity Type:Individual
Prefix:
First Name:ADRIANO
Middle Name:
Last Name:VIEIRA-RIBEIRO
Suffix:
Gender:M
Credentials:RN
Other - Prefix:
Other - First Name:ADRIAN
Other - Middle Name:
Other - Last Name:VIEIRA-RIBEIRO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:RN
Mailing Address - Street 1:817 PURDY LODGE ST
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89138-6042
Mailing Address - Country:US
Mailing Address - Phone:415-203-7029
Mailing Address - Fax:
Practice Address - Street 1:6900 PECOS RD
Practice Address - Street 2:
Practice Address - City:NORTH LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89086-4400
Practice Address - Country:US
Practice Address - Phone:702-791-9000
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-05-02
Last Update Date:2014-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA797204163W00000X
NVRN68428163WE0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WE0003XNursing Service ProvidersRegistered NurseEmergency
No163W00000XNursing Service ProvidersRegistered Nurse