Provider Demographics
NPI:1528747573
Name:VIELE, BARBARA L (LPN)
Entity type:Individual
Prefix:
First Name:BARBARA
Middle Name:L
Last Name:VIELE
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:BARBARA
Other - Middle Name:L
Other - Last Name:JOHNSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:357 BAY RD
Mailing Address - Street 2:
Mailing Address - City:QUEENSBURY
Mailing Address - State:NY
Mailing Address - Zip Code:12804-3050
Mailing Address - Country:US
Mailing Address - Phone:518-480-7870
Mailing Address - Fax:518-798-4077
Practice Address - Street 1:357 BAY RD
Practice Address - Street 2:
Practice Address - City:QUEENSBURY
Practice Address - State:NY
Practice Address - Zip Code:12804-3050
Practice Address - Country:US
Practice Address - Phone:518-480-7870
Practice Address - Fax:518-798-4077
Is Sole Proprietor?:No
Enumeration Date:2023-07-17
Last Update Date:2023-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY230221-01164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse