Individual
NORMA VIDALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
7102 WESTWIND DR, EL PASO, TX 79912-1726
(915) 581-5100
Mailing address
3405 LANKMOORE AVE, EL PASO, TX 79904-1017
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
AP136971
TX
Other
Enumeration date
03/15/2018
Last updated
03/15/2018
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