MEDICARE: DR. KRISSA VIETH NP

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	363LP0200X	Pediatric Nurse Practitioner	1227509	TX

General Provider Information

NPI Number	:	1952165235
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KRISSA VIETH NP

Provider Business Mailing Address
First Line	:	1230 FLORIDA DR
Second Line	:
City	:	ARLINGTON
State	:	TX
Zip	:	76015-2378
Country	:	US
Telephone Number	:	817-277-1329
Fax Number	:

Provider Business Practice Location Address
First Line	:	1230 FLORIDA DR
Second Line	:
City	:	ARLINGTON
State	:	TX
Zip	:	76015-2378
Country	:	US
Telephone Number	:	817-277-1329
Fax Number	:

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

Provider Enumeration Date	:	02/07/2024
Last Update Date	:	06/04/2026

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Directions to “ DR. KRISSA VIETH NP” Practice Location

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