Irene Dena Abdo, FNP-C, APRN, CNOR
Individual provider Active NPI Nurse Practitioner · Dallas, TX
NPI 1679168405 · NPPES record last updated Nov 10, 2022
Key facts
- NPI
- 1679168405
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- 1093374 (TX)
- Practice address
- 12222 Merit Dr Ste 600
Dallas, TX 75284-6524 - Phone
- (972) 715-5000
- Fax
- (972) 715-9976
- NPI assigned
- Mar 3, 2021
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 769294 | TX | MD | Registered Nurse |
| 1093374 | TX | MD | Nurse Practitioner |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 769294 | TX | |
| Nurse Practitioner | 363L00000X | 1093374 | TX | Yes |
Addresses
Primary practice location
12222 Merit Dr Ste 600
Dallas, TX 75284-6524
Mailing address
PO Box 840853
Dallas, TX 75284-0853
Phone (972) 233-1999
Other practice location 1
6606 Lbj Fwy Ste 200
Dallas, TX 75240-6524
Phone (972) 715-5000
Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 10, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.