Healthcare Provider Details

I. General information

NPI: 1962297622
Provider Name (Legal Business Name): ASHLEY MARIE VIERA NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/14/2025
Last Update Date: 05/27/2025
Certification Date: 05/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

201 S BISCAYNE BLVD STE 400
MIAMI FL
33131-4324
US

IV. Provider business mailing address

8833 NW 151ST TER
MIAMI LAKES FL
33018-1337
US

V. Phone/Fax

Practice location:
  • Phone: 305-374-4143
  • Fax:
Mailing address:
  • Phone: 305-206-4475
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberAPRN11038440
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: