Individual
CHRISTINE VIEIRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYCHIATRIC NP
Contact information
Practice address
1892 RIDGE RD, ONTARIO, NY 14519-9547
(585) 414-4802
Mailing address
1892 RIDGE RD, ONTARIO, NY 14519-9547
(585) 414-4802
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
687546
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
F403931-01
NY
Other
Enumeration date
07/28/2014
Last updated
02/11/2022
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