Provider Demographics
NPI:1548970593
Name:VIEIRA, DONALD ANTHONY JR (FNP)
Entity type:Individual
Prefix:MR
First Name:DONALD
Middle Name:ANTHONY
Last Name:VIEIRA
Suffix:JR
Gender:M
Credentials:FNP
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Mailing Address - Street 1:3355 WYOMING CT
Mailing Address - Street 2:
Mailing Address - City:STOCKTON
Mailing Address - State:CA
Mailing Address - Zip Code:95212-3433
Mailing Address - Country:US
Mailing Address - Phone:209-479-2956
Mailing Address - Fax:
Practice Address - Street 1:3801 MIRANDA AVE
Practice Address - Street 2:
Practice Address - City:PALO ALTO
Practice Address - State:CA
Practice Address - Zip Code:94304-1207
Practice Address - Country:US
Practice Address - Phone:650-852-3274
Practice Address - Fax:650-496-2501
Is Sole Proprietor?:No
Enumeration Date:2022-11-30
Last Update Date:2022-11-30
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Provider Licenses
StateLicense IDTaxonomies
CA95021513207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine