Individual
MICHELLE VIDAURE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
4742 E INDIAN SCHOOL RD, PHOENIX, AZ 85018-5440
(602) 840-6500
Mailing address
4742 E INDIAN SCHOOL RD, PHOENIX, AZ 85018-5440
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP7581
AZ
363LF0000X
Family Nurse Practitioner
TAP7581
AZ
Other
Enumeration date
03/30/2015
Last updated
03/28/2022
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