Diane Alida Abbott, RN, CWON, MSN

Individual provider Active NPI Enterostomal Therapy Registered Nurse · Cedar Park, TX

NPI 1104071398 · NPPES record last updated Dec 1, 2008

Key facts

NPI
1104071398
Entity type
Individual (NPI type 1)
Primary specialty
Enterostomal Therapy Registered Nurse 163WE0900X
License
656130 (TX)
Practice address
1210 Del Roy Dr
Cedar Park, TX 78613-1452
Phone
(512) 699-6511
NPI assigned
Dec 1, 2008
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Master of Science - Nursing, Registered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Enterostomal Therapy Registered Nurse 163WE0900X 656130 TX Yes

Addresses

Primary practice location

1210 Del Roy Dr
Cedar Park, TX 78613-1452

Mailing address

1210 Del Roy Dr
Cedar Park, TX 78613-1452
Phone (512) 699-6511

Other providers in Cedar Park, TX

All providers in Cedar Park, TX · Enterostomal Therapy Registered Nurse in Texas

Sources for this page

Verify at the official NPI Registry.