NPI 1114736378 · live from the CMS NPI Registry
Abigail Alsup, APRN
Nurse Practitioner, Pediatrics in Dallas, TX. National Provider Identifier 1114736378, active.
NPI record
| NPI | 1114736378 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner, Pediatrics 363LP0200X |
| Practice location | 7859 Walnut Hill Ln Ste 200, Dallas, TX 75230 |
| Practice phone | 214-369-7661 |
| Mailing address | 1116 Piedmont Ln, Richardson, TX 75080 |
| Enumerated | January 2, 2025 |
| Last updated | January 2, 2025 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner, Pediatrics primary | 363LP0200X | 1180378 (TX) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.