Individual
MRS. KELLY ANNE DIFABBIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP-BC
Contact information
Practice address
6200 W PARKER RD, PLANO, TX 75093-8185
(972) 948-3173
Mailing address
2762 WATERFALL LN, LITTLE ELM, TX 75068-7345
(972) 948-3173
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
AP137019
TX
Other
Enumeration date
05/08/2018
Last updated
05/08/2018
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