Individual provider · Type 1 NPI
Edree Vidal
Pediatric Registered Nurse · San Francisco, CA
NPI number
1255120101
Active
Practice location
1975 4th St
San Francisco, CA 94143-2351
Mailing address
136 Majestic Ave
San Francisco, CA 94112-3022
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Registered Nurse Primary | 163WP0200X | 95237747 (CA) |
Pediatric Registered Nurse: Definition to come...
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About NPI 1255120101
Edree Vidal's National Provider Identifier is 1255120101, issued on May 6, 2025. The primary taxonomy on file is Pediatric Registered Nurse (163WP0200X), and the practice location is in San Francisco, CA. The record was last updated on May 6, 2025.