Individual provider · Type 1 NPI
Corissa Vidal, PMHNP-BC
Psychiatric/Mental Health Nurse Practitioner · Cedar Rapids, IA
NPI number
1134570278
Active
Practice location
1026 A Ave NE
Cedar Rapids, IA 52402-5036
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | G126019 (IA) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1134570278
Corissa Vidal, PMHNP-BC's National Provider Identifier is 1134570278, issued on Jun 30, 2016. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Cedar Rapids, IA. The record was last updated on Jun 30, 2016.