Provider Demographics
NPI:1831639541
Name:VIERA, NEREIDA (DC)
Entity Type:Individual
Prefix:
First Name:NEREIDA
Middle Name:
Last Name:VIERA
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3850 S EMERSON AVE
Mailing Address - Street 2:SUITE F
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46203-5964
Mailing Address - Country:US
Mailing Address - Phone:317-788-0227
Mailing Address - Fax:317-788-0246
Practice Address - Street 1:3850 S EMERSON AVE
Practice Address - Street 2:SUITE F
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46203-5964
Practice Address - Country:US
Practice Address - Phone:317-788-0227
Practice Address - Fax:317-788-0246
Is Sole Proprietor?:No
Enumeration Date:2017-02-28
Last Update Date:2017-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN08002037A111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor