Provider Demographics
NPI:1487266615
Name:LOVING, ABBIE N (RD)
Entity type:Individual
Prefix:MRS
First Name:ABBIE
Middle Name:N
Last Name:LOVING
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 1:100 THARP STREET
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:IN
Mailing Address - Zip Code:47501-4228
Mailing Address - Country:US
Mailing Address - Phone:812-642-5028
Mailing Address - Fax:812-642-5048
Practice Address - Street 1:100 THARP STREET
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:IN
Practice Address - Zip Code:47501-4228
Practice Address - Country:US
Practice Address - Phone:812-642-5028
Practice Address - Fax:812-642-5048
Is Sole Proprietor?:No
Enumeration Date:2020-08-19
Last Update Date:2020-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN86031050133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered