Individual
DIANE ALIDA ABBOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, CWON, MSN
Contact information
Practice address
1210 DEL ROY DR, CEDAR PARK, TX 78613-1452
(512) 699-6511
Mailing address
1210 DEL ROY DR, CEDAR PARK, TX 78613-1452
(512) 699-6511
Taxonomy
Speciality
Code
Description
License number
State
163WE0900X
Enterostomal Therapy Registered Nurse
Primary
656130
TX
Other
Enumeration date
12/01/2008
Last updated
12/01/2008
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