Individual provider · Type 1 NPI

Michelle Vidal, NP

Family Nurse Practitioner · Boston, MA

NPI number 1164576229 Active

Practice location

15 Parkman St, Wang Building Room 745
Boston, MA 02114-3117

Mailing address

2 Eastland Rd
Jamaica Plain, MA 02130-4617

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X236195 (MA)

Family Nurse Practitioner: Definition to come...

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About NPI 1164576229

Michelle Vidal, NP's National Provider Identifier is 1164576229, issued on Jan 23, 2007. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Boston, MA. The record was last updated on Dec 30, 2013.