Provider Demographics
NPI:1730279894
Name:VIERS, GILLIAN DARA (NP)
Entity Type:Individual
Prefix:MRS
First Name:GILLIAN
Middle Name:DARA
Last Name:VIERS
Suffix:
Gender:F
Credentials:NP
Other - Prefix:MS
Other - First Name:GILLIAN
Other - Middle Name:D
Other - Last Name:CHARLES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:2090 NEVADA CITY HWY
Mailing Address - Street 2:
Mailing Address - City:GRASS VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:95945
Mailing Address - Country:US
Mailing Address - Phone:530-274-5020
Mailing Address - Fax:530-274-7679
Practice Address - Street 1:2090 NEVADA CITY HWY
Practice Address - Street 2:
Practice Address - City:GRASS VALLEY
Practice Address - State:CA
Practice Address - Zip Code:95945
Practice Address - Country:US
Practice Address - Phone:530-274-5020
Practice Address - Fax:530-274-7679
Is Sole Proprietor?:No
Enumeration Date:2006-10-12
Last Update Date:2008-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CANP15904363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily