Alfrediriche Viray, DNP, MSN, BSN
Alfrediriche Viray, DNP, MSN, BSN, is a highly skilled and dedicated emergency and critical care nurse currently serving as an ER Charge Nurse at Kayenta Alternative Hospital in Arizona. With extensive experience in high-acuity settings, he has built a reputation for excellence in patient assessment, emergency response, and clinical leadership. His role involves supervising emergency department staff, managing critical situations, and ensuring the delivery of safe, efficient, and patient-centered care within an Indian Health Service (IHS) facility.
In his current position, Dr. Viray demonstrates strong leadership and clinical expertise by overseeing emergency response protocols and mentoring newly hired nurses. He is deeply committed to fostering a collaborative healthcare environment, promoting effective communication among interdisciplinary teams, and maintaining high standards of care. His ability to remain composed under pressure and make sound clinical judgments has made him a trusted leader in emergency nursing.
Prior to his current role, Dr. Viray served as an ER Staff Nurse at Dilkon Medical Center and held multiple leadership positions at Sage Memorial Hospital, including MTU Charge Nurse, ER Staff Nurse, and MTU Supervisor. During this time, he contributed significantly to staff training, real-time chart auditing, and the implementation of hospital policies and procedures. His earlier experience in the Philippines includes roles at St. Paul’s Hospital Iloilo, Perpetual Help Medical Center Las Piñas, and Dr. Ricardo S. Provido Sr. Memorial District Hospital, where he developed a strong foundation in emergency, intensive care, and perioperative nursing.
Dr. Viray holds a Doctor of Nursing Practice degree with a specialization in Adult Gerontology Nurse Practitioner from Arizona State University, as well as a Master of Science in Nursing with a focus on Leadership and Administration from Southern Utah University. He earned his Bachelor of Science in Nursing from the University of San Agustin in Iloilo City, Philippines. His academic achievements are complemented by his recognition as a member of the Phi Kappa Phi Honor Society and his distinction as an ANEW Scholar at Arizona State University.
Licensed in Arizona with multiple advanced certifications—including ACLS, BLS, PALS, TNCC, and NRP—Dr. Viray brings a comprehensive skill set to his practice. He is an active member of professional organizations such as the Filipino American Nurse Practitioners of Arizona and America’s Best in Medicine. Fluent in both English and Tagalog, he is committed to delivering culturally competent care while continuing to advance nursing practice through leadership, mentorship, and lifelong learning.
• Arizona State University - D.N.P. in Acute Gerontology Nurse Practitioner
• Southern Utah University - M.S. in Nursing – Leadership and Administration
• University of San Agustin - B.S. in Nursing
• ACLS (Advanced Cardiac Life Support)
• BLS (Basic Life Support)
• PALS (Pediatric Advanced Life Support)
• TNCC (Trauma Nursing Core Course)
• NRP (Neonatal Resuscitation Program)
• Arizona State University Scholarship for Healthcare Practitioners Serving Reservation Communities
• Commision on Higher Education Scholarship Awardee University of San Agustin Philippines
• American Association of Nurse Practitioners
• Emergency Nurses Association (ENA)
• The Honor Society of Phi kappa Phi
• Filipino American Nurse Practitioners of Arizona
• Serving underserved Indian Reservation communities in Arizona for 5 years
Areas of Specialization/Expertise
- Emergency Medicine
- Trauma Care
- Indian Reservation Primary Care
- Level 1 Trauma
- Critical Care
- Patient Assessment
- Care Coordination
- Electronic Health Records (EHR)
What do you enjoy most about practicing medicine?
I love the adrenaline rush of emergency nursing. I'm the type of nurse who thrives when it's busy, and I feel like my critical thinking skills are really put to the test, especially with traumatic experiences, accidents, and emergency situations. I've worked in many different areas over my 16 years - labor and delivery, OR, ICU, med-surg, pediatrics - but I always come back to emergency nursing. There's something about working with traumas and emergency medicine that I'm really good at and passionate about. I like that challenge and the fast-paced environment where I can make a real difference for patients in critical moments.