Provider Demographics
NPI:1790838589
Name:TRIGGS, ELIZABETH (RD)
Entity Type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:
Last Name:TRIGGS
Suffix:
Gender:F
Credentials:RD
Other - Prefix:
Other - First Name:LIZ
Other - Middle Name:
Other - Last Name:TRIGGS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:RD
Mailing Address - Street 1:625 BROOKWOOD WAY
Mailing Address - Street 2:
Mailing Address - City:CHICO
Mailing Address - State:CA
Mailing Address - Zip Code:95926-1788
Mailing Address - Country:US
Mailing Address - Phone:530-592-0502
Mailing Address - Fax:530-592-0502
Practice Address - Street 1:341 BROADWAY ST
Practice Address - Street 2:SUITE 316
Practice Address - City:CHICO
Practice Address - State:CA
Practice Address - Zip Code:95928-5342
Practice Address - Country:US
Practice Address - Phone:530-592-0502
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-18
Last Update Date:2013-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered