Provider Demographics
NPI:1871817965
Name:VIANA, MARCIA (FNP)
Entity type:Individual
Prefix:MS
First Name:MARCIA
Middle Name:
Last Name:VIANA
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:MARCIA
Other - Middle Name:
Other - Last Name:KINDRED
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4129 GAGE AVE
Mailing Address - Street 2:
Mailing Address - City:BELL
Mailing Address - State:CA
Mailing Address - Zip Code:90201-1128
Mailing Address - Country:US
Mailing Address - Phone:323-771-8400
Mailing Address - Fax:
Practice Address - Street 1:4129 GAGE AVE
Practice Address - Street 2:
Practice Address - City:BELL
Practice Address - State:CA
Practice Address - Zip Code:90201-1128
Practice Address - Country:US
Practice Address - Phone:323-771-8400
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-03-18
Last Update Date:2025-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95035737363LF0000X
CA748814163WP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental Health