Female

Elenora Vidal-pascal

Nurse Practitioner in Tallahassee, FL(View on Map)

Full Name

Elenora Vidal-pascal

NPI Number

1861952715

NPI Type

Individual Provider

Gender

Female

Enumeration Date

03/25/2019

Specialties

(Taxonomies)

Code

363L00000X
163WG0600X

Primary Taxonomy

Yes
No

Licenses

State

Florida
Florida

License Number

APRN11001913
11001913

Contact
Information

Purpose

Mailing
Location

Address

PO BOX 102222
2351 PHILLIPS RD

City

Atlanta
Tallahassee

State

GA
FL

Postal Code

30368-2222
32308-5333

Country

US
US

Telephone Number

(239) 274-8200
(850) 877-8166

Identifiers

Identifier

110802100

Identifier State

FL

Identifier Issuer

Unknown

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 10/28/2022

Provider Address

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