Provider Demographics
NPI:1336762137
Name:ELDRIDGE, ABIGAIL LEIGH (RD)
Entity type:Individual
Prefix:MRS
First Name:ABIGAIL
Middle Name:LEIGH
Last Name:ELDRIDGE
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 1:7700 E ACADEMY BLVD UNIT 102
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80230-7168
Mailing Address - Country:US
Mailing Address - Phone:970-214-6443
Mailing Address - Fax:
Practice Address - Street 1:7700 E ACADEMY BLVD UNIT 102
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80230-7168
Practice Address - Country:US
Practice Address - Phone:970-214-6443
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-05-27
Last Update Date:2020-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO932663133VN1005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133VN1005XDietary & Nutritional Service ProvidersDietitian, RegisteredNutrition, Renal