MEDICARE: MS. DELLA K. COX-VIEIRA RN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163W00000X	Registered Nurse	169624	CO

General Provider Information

NPI Number	:	1609179480
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. DELLA K. COX-VIEIRA RN

Provider Business Mailing Address
First Line	:	8900 INDEPENDENCE WAY
Second Line	:	SUITE B
City	:	ALAMOSA
State	:	CO
Zip	:	81101-9412
Country	:	US
Telephone Number	:	719-589-6639
Fax Number	:	719-589-1103

Provider Business Practice Location Address
First Line	:	8900 INDEPENDENCE WAY
Second Line	:	SUITE B
City	:	ALAMOSA
State	:	CO
Zip	:	81101-9412
Country	:	US
Telephone Number	:	719-589-6639
Fax Number	:	719-589-1103

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/16/2010
Last Update Date	:	07/21/2016

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