Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Edward Vidal, FNP

Individual provider Family Nurse Practitioner · NPI 1386123305

Edward Vidal, FNP is a Nurse Practitioner in Phoenix, Arizona. Qualified in 2004, 22 years ago. Practices with Loop 101 Emergency Physicians LLC, a 55-clinician group and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
22
Licensed in
AZ
In the registry since
2018
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

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Practice location Address checks out

2331 W Carson Rd
Phoenix, AZ 85041-6408
Phone: (602) 516-2494
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence AP11639 (AZ)

Record details

NPI number1386123305
Entity typeIndividual (Type 1)
GenderMale
Credentials FNP
Sole proprietorYes
NPI enumeratedAugust 9, 2018
Last updated in NPPESNovember 21, 2018

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Group practice Loop 101 Emergency Physicians Llc — 55 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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