Provider Demographics
NPI:1336985399
Name:ABBUD, ANA S (RDN, CDCES)
Entity type:Individual
Prefix:
First Name:ANA
Middle Name:S
Last Name:ABBUD
Suffix:
Gender:F
Credentials:RDN, CDCES
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2922 W 26TH AVE UNIT 4
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80211-4854
Mailing Address - Country:US
Mailing Address - Phone:303-419-4368
Mailing Address - Fax:
Practice Address - Street 1:2922 W 26TH AVE UNIT 4
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80211-4854
Practice Address - Country:US
Practice Address - Phone:303-419-4368
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-07-08
Last Update Date:2024-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO86099934133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered