Provider Demographics
NPI:1558148247
Name:ABBEY, ELIZABETH (PHD, RDN, CDN)
Entity Type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:
Last Name:ABBEY
Suffix:
Gender:F
Credentials:PHD, RDN, CDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:416 W PARK PL
Mailing Address - Street 2:
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99205-3225
Mailing Address - Country:US
Mailing Address - Phone:540-250-6221
Mailing Address - Fax:
Practice Address - Street 1:711 N HELENA ST STE C
Practice Address - Street 2:
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99202-2826
Practice Address - Country:US
Practice Address - Phone:509-481-9362
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-09-14
Last Update Date:2023-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered