Provider Demographics
NPI:1760071971
Name:ABAIDOO, VIVIAN BELINDA (NP-C)
Entity Type:Individual
Prefix:
First Name:VIVIAN
Middle Name:BELINDA
Last Name:ABAIDOO
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14698 BRIAR FOREST DR APT 10301
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77077-2624
Mailing Address - Country:US
Mailing Address - Phone:713-319-8389
Mailing Address - Fax:
Practice Address - Street 1:14698 BRIAR FOREST DR APT 10301
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77077-2624
Practice Address - Country:US
Practice Address - Phone:713-319-8389
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-01-12
Last Update Date:2021-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1020974363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily