Provider Demographics
NPI:1912796665
Name:PERRY, ABIGAIL JUNE (RDN)
Entity type:Individual
Prefix:
First Name:ABIGAIL
Middle Name:JUNE
Last Name:PERRY
Suffix:
Gender:
Credentials:RDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:911 MAPLEWOOD DR APT 2
Mailing Address - Street 2:
Mailing Address - City:CEDAR FALLS
Mailing Address - State:IA
Mailing Address - Zip Code:50613-5360
Mailing Address - Country:US
Mailing Address - Phone:719-360-0700
Mailing Address - Fax:
Practice Address - Street 1:911 MAPLEWOOD DR APT 2
Practice Address - Street 2:
Practice Address - City:CEDAR FALLS
Practice Address - State:IA
Practice Address - Zip Code:50613-5360
Practice Address - Country:US
Practice Address - Phone:719-360-0700
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-30
Last Update Date:2025-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered