| Doctor Name: | DIANE ALIDA ABBOTT |
| NPI Number: | 1104071398 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RN, CWON, MSN |
| License Number: | 656130 |
| Business Practice Address: | 1210 Del Roy Dr Cedar Park, TX - 786131452 |
| Business Phone Number: | 5126996511 |
| Business Fax Number: | |
| Mailing Address: | 1210 Del Roy Dr, CEDAR PARK |
| State: | TX |
| Postal Code: | 786131452 |
| Phone Number: | 5126996511 |
| Fax Number: | |
| NPI Enumeration Date: | 12/01/2008 |
| NPI Last Update Date: | 12/01/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WE0900X |
| License Number: | 656130 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Enterostomal Therapy |
| Taxonomy Definition: | |