Organization
WOUND AND OSTOMY ESSENTIALS,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIANE ABBOTT MSN RN CWON ACNS (MANAGER)
(512) 699-6511
Entity
Organization
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
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
656130
TX
163WW0000X
Wound Care Registered Nurse
Primary
2002157492
TX
163WX1500X
Ostomy Care Registered Nurse
2002157492
TX
Other
Enumeration date
03/11/2010
Last updated
04/07/2010
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