Individual
MRS. JULIE A VIERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
2000 MEDICAL PKWY, SUITE 304, ANNAPOLIS, MD 21401-3742
(410) 573-9530
(410) 573-9569
Mailing address
PO BOX 12622, BELFAST, ME 04915-4017
(410) 573-9530
(410) 573-9568
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C0003175
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
601563Y5Z
MEDICARE
MD
Enumeration date
05/30/2006
Last updated
10/31/2017
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