Provider Demographics
NPI:1588462329
Name:WEBB, ABIGAIL (RD)
Entity type:Individual
Prefix:
First Name:ABIGAIL
Middle Name:
Last Name:WEBB
Suffix:
Gender:
Credentials:RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20 NANCY DR
Mailing Address - Street 2:
Mailing Address - City:WEBSTER
Mailing Address - State:MA
Mailing Address - Zip Code:01570-2150
Mailing Address - Country:US
Mailing Address - Phone:508-341-4909
Mailing Address - Fax:
Practice Address - Street 1:20 NANCY DR
Practice Address - Street 2:
Practice Address - City:WEBSTER
Practice Address - State:MA
Practice Address - Zip Code:01570-2150
Practice Address - Country:US
Practice Address - Phone:508-341-4909
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-06
Last Update Date:2025-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MALDN8002133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered