Stacey Renee Vierra, PA-C
Stacey Renee Vierra, PA-C is a Physician Assistant in Kirtland AFB, New Mexico. Qualified in 2008, 18 years ago. Practices with Summers County Board of Health, a 4-clinician group and accepts Medicare assignment.
- Years since qualifying
- 18
- In the registry since
- 2009
What do these letters mean?
- PA-C — Physician Assistant, Certified
- A physician assistant who holds current national certification.
Practice location Address checks out
2050A 2nd St SEKirtland AFB, NM 87117-5522
Phone: (505) 846-3200
Fax: (406) 731-2691
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physician Assistant (primary) | Taxonomy 363A00000X |
|---|
Record details
| NPI number | 1952541716 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | PA-C |
| Sole proprietor | Yes |
| NPI enumerated | March 5, 2009 |
| Last updated in NPPES | March 31, 2021 |
| Certification date | March 31, 2021 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 2008 (18 years in practice) |
| Group practice | Summers County Board Of Health — 4 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
Other providers in Kirtland AFB
-
Fernando Hernandez Moran
2050A 2nd St SE, Kirtland AFB, NM 87117-1302 · (505) 846-3200
-
Elena Strube
2050 A 2nd St SE, Kirtland AFB, NM 87117-0001 · (505) 846-3200
-
Joshua David Wood, PA-C
2050A 2nd St SE, Kirtland AFB, NM 87117-5901 · (720) 695-7889