Diane C Abbott, NP
Nurse Practitioner in Louisville, KY. Individual provider (NPI-1).
NPI number1649226556
StatusActive
Last updated in NPPESMar 9, 2021
Details
- NPI
- 1649226556
- Entity type
- Individual (NPI-1)
- Name
- Diane C Abbott
- Credential
- NP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 25, 2006
- Certification date
- Mar 9, 2021
- Last updated
- Mar 9, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363L00000X | Nurse Practitioner | 3008600 | KY | Yes |
| 363L00000X | Nurse Practitioner | 71000506A | IN |
Other names
- Diane Ellis (Former Name)
Practice location
3950 Kresge WaySuite 207
Louisville, KY 40207-4637
Phone 502-893-0220 · Fax 502-893-0563
Mailing address
Po Box 950248Louisville, KY 40295-0248
Phone 502-253-4900 · Fax 502-489-5750
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