Individual
MRS. ASHLEY VIDALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1499 BOARDMAN CANFIELD RD, YOUNGSTOWN, OH 44512-4008
(330) 758-0577
Mailing address
6787 LANGSTON RUN, CANFIELD, OH 44406-9284
(330) 770-3752
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
LE-00033532
OH
Other
Enumeration date
09/01/2020
Last updated
09/01/2020
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