IndividualActive
Edree Vidal
NPI 1255120101 · Pediatric Registered Nurse · San Francisco, CA
Provider details
- NPI number
- 1255120101
- Entity type
- Individual
- Primary specialty
- Pediatric Registered NurseNursing Service Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- 95237747 (CA)
Specialties & taxonomies
Nursing Service Providers
Practice location
1975 4th St
San Francisco, CA 94143-2351
Phone: (832) 818-1487
Approximate (ZIP-level) locationGet directions
Mailing address
136 Majestic Ave
San Francisco, CA 94112-3022
Registry dates
- Enumerated
- 2025-05-06
- Last updated
- 2025-05-06
- Certified
- 2025-05-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.