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Contact Information

ALYSSA VIDAL, FNP-C
3989 W STETSON AVE STE 202
HEMET, CA92545-9697
 Phone: 951-652-3558
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Practitioner

363L00000X 50 Nurse Practitioner
 

Dialysis, Peritoneal

163WD1100X
 

Rehabilitation

163WR0400X
Indicates primary specialty

NPI Profile & details for ALYSSA VIDAL · (Female)

NPI Number 1245706605
Status Active
Credentials FNP-C (Family Nurse Practitioner, Certified)
Entity Individual
Enumeration date 10/23/2018
Last updated 05/05/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • CA License # 95022142
  • CA License # 95148321
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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