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NPI Code Detail

MEDICARE: MRS. THERESA ANN ABBOTT PA-C

MEDICARE: MRS. THERESA ANN ABBOTT PA-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363AM0700XMedical Physician Assistant717NE

General Provider Information

NPI Number : 1659353464
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. THERESA ANN ABBOTT PA-C
Provider Business Mailing Address
First Line : CENTER FOR HEALTH & COUNSELING
Second Line : 1034 HARPER CENTER
City : OMAHA
State : NE
Zip : 68178-0001
Country : US
Telephone Number : 402-280-2735
Fax Number : 402-280-1859
Provider Business Practice Location Address
First Line : CENTER FOR HEALTH & COUNSELING
Second Line : 1034 HARPER CENTER
City : OMAHA
State : NE
Zip : 68178-0001
Country : US
Telephone Number : 402-280-2735
Fax Number : 402-280-1859
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/17/2005
Last Update Date : 05/01/2012

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Directions to “ MRS. THERESA ANN ABBOTT PA-C” Practice Location

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