Individual
MELISSA PENA VIDAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
3909 SWISS AVE, APT 203, DALLAS, TX 75204-6411
(787) 307-1422
Mailing address
3909 SWISS AVE, BOX 463, DALLAS, TX 75204-6411
(787) 307-1422
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
809325
TX
367500000X
Certified Registered Nurse Anesthetist
APRN9493696
FL
Other
Enumeration date
12/30/2011
Last updated
01/08/2025
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