STACEY RENEE VIERRA PA-C
NPI 1952541716
Physician Assistant in Kirtland Afb, NM

Active since March 05, 2009
2050A 2ND ST SE, KIRTLAND AFB, NM 87117(505) 846-3200(406) 731-2691 Get Directions Write a Review

NPPES record last updated: March 31, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Stacey Renee Vierra Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

STACEY RENEE VIERRA PA-C (NPI 1952541716) is an individual physician assistant in Kirtland Afb, New Mexico and active in the NPI registry since March 2009.

NPPES Registry Identity

NPI1952541716
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameSTACEY RENEE VIERRACredential: PA-C
Location Address2050A 2ND ST SEKirtland Afb, NM 87117-5522
Mailing Address2050a 2nd St SeKirtland Afb, NM 87117-5522 · (505) 846-3200 · Fax (406) 731-2691
Fax(406) 731-2691
Sole ProprietorYes
Enumeration DateMarch 5, 2009
Last NPPES UpdateMarch 31, 2021
NPPES CertifiedMarch 31, 2021
NPI 1952541716 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

2050A 2ND ST SE, Kirtland Afb, NM 87117

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Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Preventive Medicine (Aerospace Medicine)
2050A 2ND ST SE
KIRTLAND AFB, NM 87117
Registered Nurse
2050A 2ND ST SE
KIRTLAND AFB, NM 87117
Military Health Care Provider (Independent Duty Medical Technicians)
2050A 2ND ST SE, 377AMDS/SGPF
KIRTLAND AFB, NM 87117
Military Health Care Provider (Independent Duty Medical Technicians)
2050A 2ND ST SE
KIRTLAND AFB, NM 87117
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
2050A 2ND ST SE
ALBUQUERQUE, NM 87117
Physician Assistant
2050A 2ND ST SE
KIRTLAND AFB, NM 87117
Dentist (General Practice)
2050A 2ND ST SE
ALBUQUERQUE, NM 87117
Family Medicine
2050A 2ND ST SE
KIRTLAND AFB, NM 87117
General Practice
2050A 2ND ST SE
KIRTLAND AFB, NM 87117
Physical Therapist
2050A 2ND ST SE
KIRTLAND AFB, NM 87117
Family Medicine
2050A 2ND ST SE
KIRTLAND AFB, NM 87117
Dentist (Prosthodontics)
2050A 2ND ST SE
KIRTLAND AFB, NM 87117
Social Worker (Clinical)
2050A 2ND ST SE
KIRTLAND AFB, NM 87117
Chiropractor
2050A 2ND ST SE
KIRTLAND AFB, NM 87117
Psychologist
2050A 2ND ST SE
KIRTLAND AFB, NM 87117
Pharmacist
2050A 2ND ST SE
KIRTLAND AFB, NM 87117
Occupational Therapist
2050A 2ND ST SE
KIRTLAND AFB, NM 87117
Psychologist
2050A 2ND ST SE
KIRTLAND AFB, NM 87117
Psychologist (Clinical)
2050A 2ND ST SE
KIRTLAND AFB, NM 87117
Social Worker (Clinical)
2050A 2ND ST SE
KIRTLAND AFB, NM 87117

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1952541716, enumerated as an "individual" on March 05, 2009.

The provider is located at 2050A 2ND ST SE KIRTLAND AFB, NM 87117 and the phone number is (505) 846-3200.

Physician Assistant with taxonomy code 363A00000X.