Individual
AMY L VIEIRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1300 CRANE ST, MENLO PARK, CA 94025-4260
(650) 498-6500
Mailing address
PO BOX 60000, FILE 72484, SAN FRANCISCO, CA 94160-0001
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA17494
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MMM00087M
NHIC
—
Enumeration date
08/10/2006
Last updated
12/30/2021
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