Individual
MS. ELEANOR C VIERRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN NPC
Contact information
Practice address
3941 J ST, STE 260, SACRAMENTO, CA 95819
(916) 736-2323
(916) 564-3091
Mailing address
3400 DATA DRIVE, RANCHO CORDOVA, CA 95670-7956
(916) 564-3040
(916) 564-3065
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
NP15768
CA
363LA2100X
Acute Care Nurse Practitioner
Primary
15768
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0068230
—
CA
05
—
GR0068231
—
CA
05
—
GR0068232
—
CA
05
—
GR0068233
—
CA
05
—
GR0068235
—
CA
05
—
GR006823B
—
CA
01
—
P00301682
RAILROAD MEDICARE
CA
05
—
RN378972
—
CA
01
—
ZZZ47673Z
BLUE SHIELD
CA
01
—
ZZZ47675Z
BLUE SHIELD
CA
01
—
ZZZ47676Z
BLUE SHIELD
CA
01
—
ZZZ62306Z
BLUE SHIELD
CA
Enumeration date
11/14/2006
Last updated
10/05/2015
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