Provider Demographics
NPI:1477449072
Name:VIDAL, NADINE M (LPN)
Entity type:Individual
Prefix:
First Name:NADINE
Middle Name:M
Last Name:VIDAL
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:235 E MAPLE ST
Mailing Address - Street 2:
Mailing Address - City:ALLENTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18109-2539
Mailing Address - Country:US
Mailing Address - Phone:718-916-7740
Mailing Address - Fax:
Practice Address - Street 1:235 E MAPLE ST
Practice Address - Street 2:
Practice Address - City:ALLENTOWN
Practice Address - State:PA
Practice Address - Zip Code:18109-2539
Practice Address - Country:US
Practice Address - Phone:718-916-7740
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-18
Last Update Date:2025-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175M00000XOther Service ProvidersMidwife, Lay