MRS. Corissa Vidal, PMHNP-BC
NPI #1134570278 in Cedar Rapids, Iowa
Provider Information
- NPI Number
- 1134570278
- Entity Type
- Individual
- Name
- MRS. Corissa Vidal, PMHNP-BC
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner - Psychiatric/Mental Health
- Credential
- PMHNP-BC
- Enumeration Date
- Jun 30, 2016
- Last Updated
- Jun 30, 2016
Practice Location
- Address
- 1026 A AVE NE
- City
- Cedar Rapids
- State
- Iowa
- ZIP Code
- 52402-5036
- Phone
- (563) 503-0306
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Psychiatric/Mental Health — Psychiatric/Mental Health |
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