Provider Demographics
NPI:1851579809
Name:VIEIRA, KRISTEN C (RN, APRN-BC, A)
Entity Type:Individual
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First Name:KRISTEN
Middle Name:C
Last Name:VIEIRA
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Gender:F
Credentials:RN, APRN-BC, A
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Mailing Address - Street 1:104 WOODMONT BLVD
Mailing Address - Street 2:SUITE LL50
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37205-2245
Mailing Address - Country:US
Mailing Address - Phone:615-386-2361
Mailing Address - Fax:615-386-2399
Practice Address - Street 1:4230 HARDING PIKE
Practice Address - Street 2:SUITE 309
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37205-2013
Practice Address - Country:US
Practice Address - Phone:615-383-0165
Practice Address - Fax:615-292-4657
Is Sole Proprietor?:No
Enumeration Date:2008-02-01
Last Update Date:2016-06-13
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Provider Licenses
StateLicense IDTaxonomies
TNAPN11885363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN6063231OtherBCBST
TN1507733Medicaid
TN6063231OtherBCBST