Individual
DIANE C ABBOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3950 KRESGE WAY, SUITE 207, LOUISVILLE, KY 40207-4637
(502) 893-0220
(502) 893-0563
Mailing address
PO BOX 950248, LOUISVILLE, KY 40295-0248
(502) 253-4900
(502) 489-5750
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
3008600
KY
363L00000X
Nurse Practitioner
71000506A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200487280
—
IN
05
—
7100348350
—
KY
Enumeration date
05/25/2006
Last updated
03/09/2021
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