Individual provider · Type 1 NPI

Kenneth Ralph Vieira, CNP

Nurse Practitioner · Providence, RI

NPI number 1609643063 Active

Practice location

180 Corliss St Ste C
Providence, RI 02904-2602

Mailing address

117 Ellenfield St Ste 101
Providence, RI 02905-4541

Other practice locations

  • 60 Winslow St, Riverside, RI 02915-1726 · (401) 533-6258

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XAPRN03921 (RI)
Nurse Practitioner 363L00000XRN2321336 (MA)
Registered Nurse 163W00000XRN2321336 (MA)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

3 other providers at this address

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About NPI 1609643063

Kenneth Ralph Vieira, CNP's National Provider Identifier is 1609643063, issued on Dec 6, 2023. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Providence, RI. The record was last updated on Mar 8, 2024.