Provider Demographics
NPI:1750192142
Name:DERBYSHIRE, ABIGAIL (RD)
Entity type:Individual
Prefix:
First Name:ABIGAIL
Middle Name:
Last Name:DERBYSHIRE
Suffix:
Gender:F
Credentials:RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3120 S RACE ST
Mailing Address - Street 2:
Mailing Address - City:ENGLEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80113-3032
Mailing Address - Country:US
Mailing Address - Phone:203-448-0090
Mailing Address - Fax:
Practice Address - Street 1:3120 S RACE ST
Practice Address - Street 2:
Practice Address - City:ENGLEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80113-3032
Practice Address - Country:US
Practice Address - Phone:203-448-0090
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-15
Last Update Date:2025-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered