Individual
IDIANISE JOSUE VILDOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
235 N WESTMONTE DR STE 105, ALTAMONTE SPRINGS, FL 32714-3345
(407) 461-3791
Mailing address
775 CASCADING CREEK LN, WINTER GARDEN, FL 34787-5911
(407) 461-3791
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
9316505
FL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN9316505
FL
Other
Enumeration date
04/19/2018
Last updated
02/24/2026
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