Healthcare Provider Details

I. General information

NPI: 1881503308
Provider Name (Legal Business Name): ABBY BEALE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/02/2026
Last Update Date: 09/02/2026
Certification Date: 09/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2670 HERRON RD
FRANKFORT MI
49635-9144
US

IV. Provider business mailing address

2670 HERRON RD
FRANKFORT MI
49635-9144
US

V. Phone/Fax

Practice location:
  • Phone: 231-357-0864
  • Fax:
Mailing address:
  • Phone: 231-357-0864
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133N00000X
TaxonomyNutritionist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: