Provider Demographics
NPI:1427521160
Name:VIERA, JANET MARIE (LVN)
Entity type:Individual
Prefix:
First Name:JANET
Middle Name:MARIE
Last Name:VIERA
Suffix:
Gender:F
Credentials:LVN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1800 MOUNT PLEASANT DR
Mailing Address - Street 2:
Mailing Address - City:MESQUITE
Mailing Address - State:TX
Mailing Address - Zip Code:75149-6417
Mailing Address - Country:US
Mailing Address - Phone:609-741-8817
Mailing Address - Fax:
Practice Address - Street 1:1800 MOUNT PLEASANT DR
Practice Address - Street 2:
Practice Address - City:MESQUITE
Practice Address - State:TX
Practice Address - Zip Code:75149-6417
Practice Address - Country:US
Practice Address - Phone:609-741-8817
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-01-04
Last Update Date:2019-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX317592164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164X00000XNursing Service ProvidersLicensed Vocational Nurse