MEDICARE: ANA S ABBUD RDN, CDCES

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
1	133V00000X	Registered Dietitian	86099934	CO

General Provider Information

NPI Number	:	1336985399
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANA S ABBUD RDN, CDCES

Provider Business Mailing Address
First Line	:	2922 W 26TH AVE UNIT 4
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80211-4854
Country	:	US
Telephone Number	:	303-419-4368
Fax Number	:

Provider Business Practice Location Address
First Line	:	2922 W 26TH AVE UNIT 4
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80211-4854
Country	:	US
Telephone Number	:	303-419-4368
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/08/2024
Last Update Date	:	07/08/2024

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