Deborah J. Vieira, MA
Individual provider Active NPI Nurse's Aide · Crewe, VA
NPI 1407034002 · NPPES record last updated Sep 20, 2010
Key facts
- NPI
- 1407034002
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse's Aide 376K00000X
- License
- 1401029093 (VA)
- Practice address
- 124 E Carolina Ave
Crewe, VA 23930-1802 - Phone
- (434) 538-0120
- Fax
- (454) 538-0121
- NPI assigned
- Feb 6, 2008
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| HCO-11671 | VA | MD | Home Health Agency |
| 1401029093 | VA | MD | Nurse's Aide |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Surefire Health Care Professionals | Home Health | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse's Aide | 376K00000X | 1401029093 | VA | Yes |
| Home Health Agency | 251E00000X | HCO-11671 | VA |
Addresses
Primary practice location
124 E Carolina Ave
Crewe, VA 23930-1802
Mailing address
124 E Carolina Ave
Crewe, VA 23930-1802
Phone (540) 848-0183
Other names
- Surefire Healthcare Professionals
Other providers in Crewe, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 20, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.