Provider Demographics
NPI:1144919903
Name:VIEIRA, AMY BETH (BSN, RN, IBCLC)
Entity type:Individual
Prefix:MRS
First Name:AMY
Middle Name:BETH
Last Name:VIEIRA
Suffix:
Gender:F
Credentials:BSN, RN, IBCLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4398 GREENLEAF CT
Mailing Address - Street 2:
Mailing Address - City:CONCORD
Mailing Address - State:CA
Mailing Address - Zip Code:94518-1941
Mailing Address - Country:US
Mailing Address - Phone:925-408-7425
Mailing Address - Fax:
Practice Address - Street 1:4398 GREENLEAF CT
Practice Address - Street 2:
Practice Address - City:CONCORD
Practice Address - State:CA
Practice Address - Zip Code:94518-1941
Practice Address - Country:US
Practice Address - Phone:925-408-7425
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-05-05
Last Update Date:2023-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA583336163WL0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WL0100XNursing Service ProvidersRegistered NurseLactation Consultant