Vidal, Joycelyn
Vidal, Joycelyn is an sole proprietor health care provider with primary practice located at 5400 Ralston Street , Ventura CA 93003. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Women's Health, Ambulatory Health Care Facilities / Clinic/Center. Physician Assistants & Advanced Practice Nursing Providers / Women's Health is her primary health care specialty. Vidal, Joycelyn can be contacted via phone (805) 963-2445.Contact Information
Primary practice address
5400 Ralston Street
Ventura CA 93003
Phone: (805) 963-2445
Fax: (805) 965-6981
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Women's Health | 363LW0102X | 13163 | California |
| Ambulatory Health Care Facilities / Clinic/Center | 261Q00000X | 594657 | California |
Profile Details
| NPI number | 1477641546 |
|---|---|
| LBN Legal business name | Vidal, Joycelyn |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 11th, 2006 |
| Last updated | May 8th, 2012 - about 14 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1477641546 | NPPES |
| California | Other | RN5946570 | MEDICAL |
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