Healthcare Provider Details

I. General information

NPI: 1841977600
Provider Name (Legal Business Name): ABBEY HUBBELL RDN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/03/2023
Last Update Date: 07/03/2023
Certification Date: 07/03/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

17 STUMPFIELD RD
KENSINGTON NH
03833-6812
US

IV. Provider business mailing address

17 STUMPFIELD RD
KENSINGTON NH
03833-6812
US

V. Phone/Fax

Practice location:
  • Phone: 860-748-3757
  • Fax:
Mailing address:
  • Phone: 860-748-3757
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License Number86074705
License Number StateNH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: